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' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR 'OFFICE USE ONLY <br /> ADDRESS OR LEGAL: IY�s ��Z��RE�S �'^'PID: <br /> DESCRIPTION OF WORR: IU CCC� 12� <br /> ------------------------ ------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: 3- 3 I-c(� <br /> BIIILDING REVIEW BY: DATB APPROVED: 3 - 3� -C► � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMI T Ye s l� No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes (/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes Not� PARK FEE <br /> SAC Yes No v SITE INSPECTION <br /> Number of SAC Units OTHER (specif y) <br /> ------------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: L.Q.�-114 <br /> Fire Department: �Q1,2��•4- Post Office: �q.�4 Schoo� District: p2c>n�c7 <br /> —� <br /> Lot Area: (. 6� �5 Width: t�lZ.lL�c���.�q.�C _ Depth: ,��'�--b u-�.,rtr�. <br /> Survey Submitted: Yes p� No Date of Survey: 3 � Z3-� `'r <br /> Proposed Setbacks: , � <br /> F'rarrt (Lake) : I 2�S +_ Ri ght Side: S"7`a �. <br /> E�e.a� (Street) : 3�(.6' Lef t Side: ` -� � <br /> Adjacent Structures: /Ul�} Wetland: Sd ' �- <br /> BuiJ�ding Height: Def. Hgt. �y� Peak Hgt. �`� � <br /> Avg. Setback: D• (�- Lot Coverage: �•<<- <br /> Existing Proposed <br /> Hardcover: 0-75 ' ��° <br /> 75-250 ' ZZ-Y�� <br /> 250-500 ' • 6 �" <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date: 3-31-°I`�( By: .�0 , Council Approval Date: �-2 �-�K <br /> Septic: Staff Approval Date: 3-31-�1�-( By: �•W- <br /> Zoning Fi�e:# l R�� Resolution # : ��t �� Resolution Date: 3 'Z� '�`'f <br /> REMARRS (in house) : <br />