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.. <br /> � • _ <br /> CHECR OFF LIST FOR ISSIIANCE OF P$R1►sITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �Z7 U l ILC��K ��/� PID: <br /> �i4-?C� _ <br /> DESCRIPTION OF WORR: SC..� G�-t r ���LQ�D�P C,t--i-v4+�c�2�- ��GfL Sn4 ►2 ►2�'�J+5 r ��^� � <br /> ------------------ �.---- ----------------------_------`-f-------- <br /> ------- <br /> ZONING REVIEW BY: '`�'�,{'^, - C°,-a.-.. DATE APPROVED. �,-4 � <br /> BUII�DING REVIEW BY: � "� DATE APPROVED: v- �! <br /> --------------------�j-i—�I,U,.---------------------------�--J-------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � . No <br /> PLAN REVIEW Yes �� No SEWER CONNECTION <br /> STATE SURCHARGE Yes—� No 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 LIST ZoningjDistrict: <br /> Fire Department: Post Of�ice: 1 School District: <br /> � <br /> Lot Area: Width: Depth: <br /> ; <br /> Survey Submitted: Yes No Date of Survey: <br /> � <br /> Proposed Setbacks: , <br /> Front (Lake) : r Right Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structures : Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' ' <br /> 75-250 ' <br /> 250-500 ' ' - <br /> 500-1000 ` <br /> xardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: 6 - 3-Gf1r By:o�- Q • Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution #: Resolution Date: <br /> REMARRS (in house) : <br />