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CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> ` � � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ( ZS� ��-�''r�'� �� PID' <br /> DESCRIPTION OF WORR: �f�Sa� ��''"`s�+ - ��r`�- <br /> ---------------------------- <br /> ZONING REVIEW BY: fv �,� DATE APPROVED: <br /> BIIILDING REVIEW BY: DAT$ APPROVED: Z-L4-S�S' <br /> ----------------- ----------- <br /> FBES TO BE CHARGF.D: Misc. Fees Calculated By: <br /> PERMIT Yes �No <br /> PLAN REVIEW Yes �No 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 /> ZONING CHECR Z�IST Zoning Distri t: <br /> Fire Department: Post Office: Schoo]. D' trict: <br /> , <br /> Lot Area: Width: Tpepth: <br /> Survey Submitted: esl No ate of Survey: <br /> Proposed Setbacks : <br /> Front (Lake) : Right Side: <br /> Rear (Street : I Left Sidez <br /> � <br /> Adjacent St uctures: � We land: <br /> Building Height. Def�l Hgt ! Peak Hgt. <br /> i � <br /> Avg. Setback: �Lot Coverage: <br /> F.�xis ing ' roposed _ <br /> l� 1 <br /> Hardcover: 0 75 ' J <br /> � <br /> 75 250 ' ;% ; <br /> � <br /> 2 0-500 ' I <br /> i <br /> 5 0-1000 ' 1 �� � <br /> Hardcov r Varianc / equired: � Y s No Date of Counc�l Approval:_ <br /> Gradin : Staff Ap oval. Date: By: Council ;Approval. Date: <br /> Septi�: Staff Approval Date BY= <br /> Zoning Fi�e:# esolution #: Resolution Date: <br /> REMARKS (in house) : , <br />