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� � CHECK OFF LIST FOR ISSUANCE OF PERdiITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /y�S G2E�N riu,=Z S �Y� <br /> PID: . <br /> DESCRIPTION OF WORK ��,,,�,��Jo� ��A ��,��N� ��U� <br /> ZO�'ING REVIEW BY: DATE APPROVED: �Z- y_ 0 3 <br /> BUILDING REVIEW BY: DATE APPROVED: ,�r- y-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERIIIIT Yes _,� No <br /> PLANREVIEW Yes_1� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVES77GATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPEC770N <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZO�VING CHECK LIST Zoning District: �vu c � <br /> Fire Department: 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: Wetl nd: <br /> Building Height: Def. Hgt. Pe Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: Council Approval Date: <br /> Septic: Staff Approval Date: By. <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shorelan.�District: <br /> .-��g. Set6ack: Bluff Setback: Lot Coi�erage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�1�iARKS(in house): <br /> 32 <br />