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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ` ADDRESS OR LEGAL: �f_S ����NL�f��--L �_%����=�� PID: <br /> DESCRIPTION OF WORR: �� �^�;�;._f� ���) �-% � 'i % � �� <br /> -------------------------------------------------------------------------------. <br /> ZONING REVIEW BY: .'�- ' �� ;�..�,�..�--. DATE APPROVED: � -(V " `�"� <br /> `�` " <br /> � _ DATE APPROVED: 5S _ 1(;; . '��c-I <br /> BIIILDING REVIEW BY: ; � ��1.�.._--- <br /> -----------------------�= ------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Ca�culated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes L'� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No '-�� PARK FEE <br /> SAC Yes No �- � SITE INSPECTION <br /> Number of SAC Units OTHER ( specif y) <br /> -------------------------------------------------------------------------------� <br /> ZONING CHECR LIST Zoning District: �-; ��- <br /> --� <br /> Fire Department: ' Post Of�''ice: ' � .% � / S o�S Dis�iYict: <br /> � � <br /> ���� \ <br /> � '� <br /> Lot Area: Width: �� � � r` )I�eptM�: --� <br /> Survey Submitted: Yes ;�, No Date of Survey: � 1 �7� �( <br /> Proposed Setbacks: � � , -; � <br /> Front (Lake) : �,���% Right Side: Co� �((�� <br /> _, <br /> ,Re�� (Street) : �,',f' + �'� Left Side: Z�`> � � <br /> Adjacent rStructures` �ti- ���-ta _ Wetland �',� �/� _ <br /> Bui]�ding Height: ;D�f. Hgt. %�� Peak Hgt.�: <br /> �� , <br /> Avg. Setback: � Lot �overage: � <br /> xisting Pr,oposed <br /> ', <br /> i <br /> Hardcover: 0-75 ' ��� � <br /> � <br /> 75-250 "� <br /> 250-500' <br /> 500-1004 ' ---- � <br /> __:-- <br /> Hardcover Variance Reqt�ired: Yes No Date of Counci� Approva� : <br /> � <br /> Grading: Sta�f ApprovaJ� Date: By: Council A�proval Date: <br /> i <br /> Septic: Staff Approval 'Dat�: By: <br /> Zoning File: # Resolution # : Resol.uti i� Date: <br /> REMARRS (ir� house) : <br /> � / <br /> l .� <br /> � <br />