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� �a�e o� Q-//- 9� <br /> . <br /> CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � PID: <br /> DESCRIPTION OF WORK:���AR�16� � OC t` �E� '�� �OT70� <br /> ------------------ ---------------------- - <br /> -------------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED: 9- '7- `'j0 <br /> BIIILDING RBVIEW BY: �,,,�p ��,�„�... DATE APPROVED: G - l b - �C7 <br /> F$ES 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 Zoning District: L �, - /� <br /> Fire Department: -�"-"`-� Post Office: `�-� School District: <br /> Lot Area: • Width: Depth: <br /> Survey Submitted: Yes ✓ No Date of Survey: � -- 3 - �J� <br /> Proposed Setbacks: � o..�-o c�.-e �-A��'���`e-� �,Q,,c�( -f- R,00 rr-- <br /> Front (Lake) : Right Side: ��� „�C.�� /���.ZC-S�p� <br /> � C. <br /> � J�_¢.� 4UJ��t.ILc� <br /> Rear (Street) : /o Left Side:_/0 f- � <br /> Adjacent Structures : Wetland: --'� <br /> Building Height: Def. Hgt. Peak Hgt.� <br /> Avg. Setback: �N G*'On�`"�+�" �. ���s�4� Lot Coverage: <br /> Existin � Proposed <br /> Hardcover: 0-75 ' <br /> 7 5-2 5 0 ' �D 6�. �3 .fv�U --_--� (o o� ��o � flt- `f',3 � <br /> /G <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes ✓ No Date of Council Approval: �'-a 7 - d <br /> Grading: Staff Approval Date: ��- By: '�� Council Approval Date: '"�— <br /> Septic: Staff Approval Date: --� By: �-'� <br /> Zoning Fi le:# /� �q Resolution #: �.�'- Resolution Date:�--a�-�d <br /> I <br /> RRMARKS (in house) :� S �e i�s.c 8c?'Lio� -- Y-oo� (•.o L,o � � <br /> ( ' <br />