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CHECK Ok'F i�IST FOR ISSUANCE O�' PER1l�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: -:��� C' �t c� �C <br /> PID: <br /> DESCRIPTION OF WORK: - c;C I <br /> ZONI�tG REVIE'4V BY: ----^^--`�r` DA`I'E AJ.'PROVED: <br /> BUILDI�i G REYIEtiV BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc, Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEtiV Yes No SEtiVER CO�INECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Uruts OTHER (specify} <br /> ZONi.�G CHE.CK LIST Zoning Districc: <br /> Fire Departmenr. Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake); Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Buildin� Height: Def. Hgt, Peak Hgt. <br /> Lot Coveraje: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zon.in' File: �# Resolution: # Resolution Date: <br /> Shorelar_d District: <br /> Avg. Setback: Bluff Setback: I.ot Coveca�e: <br /> Eusting Proposed <br /> Hardcover: 0-7�' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�L4RKS (in house): <br />