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.� `� ` � , CHECR OFF LIST FOR ISSIIANCE OF PERMI7.'S <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: L//S6 I�(6({WOU4/� pID= <br /> DESCRIPTION OF WORR: Q��t+�+(Z. PORLI-I <br />------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: �'(- �,/ -�j Z- <br /> BIIILDING REVIEW BY: DATB APPROVED: �j - 4' -�i 2 <br /> FEES TO B$ CHARGED: Misc. Fees Calculated By: <br /> PERMI T Ye s (� No <br /> PLAN REVIEW Yes_J�' 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 />----------------------------------------g---------_--2_---------------------- <br /> ZONING CHECR LIST Zonin District L /Q <br /> Fire Department: /�r��. Post Of f ice: 1V � S chool Di stri ct: <br /> Lot Area: • 2-L Ac2c3 Width: � � Depth: Z SZS <br /> Survey Submitted: Yes � No Date of Survey: 6 - ZS -�2— <br /> Proposed Setbacks: <br /> �`�rnt (Lake) : /1/ �/� Right Side: 2.� <br /> �ear (Street) : � �� Lef t Side: Z-6�'f� <br /> Adjacent Structures : A-7�9e/-f�-� Wetland: <br /> Bui�ding Height: Def . Hgt. O.� Peak Hgt. �j,i'�. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ° <br /> 75-250 ' 35• 5��`�° 3`l.S � /n <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes� No Date of Counci]. Approva7�: 7-Z�-5� <br /> Grading: Staff Approval Date: By: Council ApprovaJ. Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # (7 S� Resolution #: Resolution Date: <br /> REMARRS (in house) : <br />