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CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> - FOR OFFICE USE ONLY <br /> � � , I , �._:� � , ��� PID: ��� -,'�i'-�� � .� -3 C'�G ! :�.. <br /> ADDRESS OR LEGAI,: I 7� �-�-� ti.`�--� � <br /> DESGRIPTION OF WORR: � � � ,5��-�--� ��'"' _ <br /> -L��-----�------------------ <br /> ------------------- <br /> ZONING REVIEW BY: DATE APPROVED: c1•ZS 'S � <br /> BIIII.DING REVIEW BY: DAT$ APPROVED: -r'7 ' Z 5 --�'iS <br /> ------------- ------------ <br /> FEES TO BE CHARGED- Misc. Fees Ca�cul.ated 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 /> ------------�- � <br /> ZONING CHECR LIST Zoning District: �/ - _ <br /> Fire Department• 1 st �i �• _ School. District: <br /> ` / � <br /> Lot Area: W • I Depth: <br /> Survey Submitted: Yes� No Date of Survey: p,.� �='�c�c% <br /> Proposed Setbacks : <br /> F-�orrt (Lake) • (70' ± Right Side: ��� U <br /> .�e�a� ( Street) • i`' �!� Lef t Side: SS" �v <br /> Adjacent Structures: !�%T7�clfZ%� Wetland: N/A <br /> Buil.ding Height: Def. Hgt. �- ��- Peak Hgt. — _ <br /> Avg. Setback: C� -(�- Lot Coverage: N �� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' I Z.�'S�° /s•v��� <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No � Date of Council ApprovaJ�: <br /> Grading: Staff Approval Date: — By: � Council Approval� Date: <br /> Septic: Staff Approva7. Date: — BY= <br /> Zoning File•# -- Resolution # : `— Resolution Date: <br /> REMARKS (in house) : , <br />