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� CHECK OFF LIST FOR ISSU.4.NCE OF PERMITS <br /> FOR OFFIC� USE ONLY' <br /> ADDRESS OR LEG_AL: /75 (�old.Q,r�. V�P�c.cJ �� <br /> PID: <br /> DESCRIPTION OF i�['ORIi: (�.•w.a��`,Z _ dp," �„o ��,u�� <br /> ZO.NING REVIE[��B�:• I� ^ ` DATEAPPROI�ED:� `�� <br /> BUILDINGREi�IEN'B�:• DATEAPPROT�ED: � z � _�c� <br /> FEES TO BE CKqRGED: Misc. Fees Calculated Bv: � ry'� <br /> PER1l71T 3 es_/� No y <br /> � PLANREVIELT% �'es No �/ SEN'ER CONNECTION <br /> STATE SURCH.ARGE Fes_� _No Yi'�I TER CONNECTION <br /> Ih'irESTIGATIOIV FEE �"es No f/ PARK FEE <br /> S 4 C �"es No ,/ SITE INSPECTION <br /> Ivufnber o{SAC Units � OTHER (specify) <br /> ZONING CHECX LIST ZoningDistrict� _�,.;>~�C'%�� � �� � � � + �� �� <br /> � <br /> Fire Departnsent: Post Ofjzce: School District: <br /> Lot Area: Sq.fl. Acres GG'idth Depth <br /> � Surve��Submitted.� Yes No Date ofSu�vey: <br /> Piroposed Setbacks: ' <br /> Front(Lake): Righi Side: <br /> Rear(Street): Left Side: <br /> Adjacen�Structures: "et(and: <br /> Building Height De(Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Gradino StaffApproval Date: By: Council Appr-oval Daie: <br /> Septic: Siaf�Appr•oval Date: Bj, <br /> Zoning File # ResolutiaT: n Resolution Da�e: � <br /> 1 ' <br /> Shorelai�d District: ti A4CG�D Per�nit: <br /> .4vg Setback: BIi�Setqack: LotCoverage: <br /> Ezisting ' P,•oposed <br /> Hardcoi�er: D-'�' <br /> 'S-'�D' --� <br /> '�D-�00' � <br /> �00-1000' � <br /> Hardcoi�er� I'ariarzce Reqzrired: I es No � Dar� oj Cozu�cil,9pp,•o��al: <br /> RE1124RKS(i�z Iznuse): <br /> 1 <br /> � <br /> � <br /> , <br /> 3� <br />