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, CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> - ' ' ' FOR OFFICE USE ONLY <br /> ADDR$SS OR LEGAL: ���-� �� E�- � I �'�E ���� PID: <br /> DESCRIPTION OF WORR: A Q D i n o� <br /> --------- -------------------------- <br /> ------------------- ---�( ------�--------- -- <br /> ZONING REVIEW BY: �c„�, C�l DATE APPROVED: �--2�-4 5 <br /> BIIILDING RL�VIEW BY: DATE APPROVED: 2-Z..�-S S <br /> ----------- ------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ � — <br /> PLAN REVIEW Yes �� SEWER CONNECTION <br /> STATE SURCHARGE Yes o WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------- <br /> --------------------- <br /> ZONING CHECR LIST Zoning District: L 2- /�- <br /> Fire Department: � Post Office• (N School District: �( <br /> Lot Area: �S oo� � t% Width: Depth: <br /> Survey Submitted: Yes X No Date of Survey: <br /> Proposed Setbacks : . <br /> Front (Lake) : ,1//f� Right Side: � <br /> Rear (Street) : -]o` Left Side: N�� _ <br /> Adjacent Structures : �4�u�� Wetland: /il�� <br /> Buil.ding Height: Def . Hgt. �. (L Peak Hgt. 0 , k <br /> Avg. Setback• /��� Lot Coverage: L(•3 �° <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' 25•�� o Z'�•�`'7a <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No oL Date of Council Approval: <br /> Grading: Staff Approval Date: i✓�f� By: Council Approval Date: <br /> Septic: Staf f Approval Date: /�/f� BY= <br /> Zoning File:# /g£�7 Resolution # : 3SZ� Resol.ution Date: 2-c3-�i5� <br /> REMARKS (in house) : , <br />