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� � CHECK OFF �,IST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL:_,� � � �[^�1' �S� ��'� j h1t_ PID: � " I� - / -� <br /> DESCRIPTION OF WORR: KC S��2 S <br /> ---------------------- <br /> ----------------------------- <br /> ZONING REVIEW BY: �/j�n.�,— DATE APPROVED: ,��, '�" � �- <br /> BIIII,DING REVIEW BY: �� DATE APPROVED:�GQ' �2- <br /> --------------------- -------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes 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/L��Q <br /> Fire Department:�?,c,.�n.,/� Post Office: �wAyZ,n^I� School District: <br /> � De th: ��o � � <br /> Lot Area : 5 z,Zoc��t / �7��'� Width: /ys "� P <br /> ----r <br /> Survey Submitted: Yes ,�C No Date of Survey: � •22 -g� <br /> Proposed Setbacks: r <br /> F�eat (Lake) : -7� Right Side: �t� fi <br /> �� ( Street) : N�� Lef t Side: �� �fi <br /> Adjacent Structures : �� ��' _ Wetland : �I�A <br /> Buil.ding Height: Def . Hgt. �//A Peak Hgt. <br /> Avg. Setback: �✓�/} Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' O � <br /> 75-250 ' �m 4��' <br /> 250-500 ' �` �� <br /> 500-1000 ' - <br /> Hardcover Variance Required: Yes No p� Date of Council Approval: <br /> Grading: Staff Approval Date: By: ounciJ. Approva� Date: <br /> Septic: Staff ApprovaJ. Date: Y= <br /> Zoning File•# Res lu ion #' Reso�ution Date: <br /> � <br /> REIKARRS (in house) : �-!{� <br /> � <br /> i � <br /> � <br /> � , - <br /> i <br /> , <br /> �' <br />