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/ � 4 <br />� <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �5 N �"�,J� (7�CZ <br /> PID: <br /> DESCRIPTION OF WORK: nJ'L,w �?.�;S <br /> ---------------------------------------------------------------------------------------------------------------- ------- <br /> ZONING REVIEW BY: DATEAPPROVED: � I� G 7 <br /> BUILDING REVIEW BY.• �( ,.,_ DATEAPPROT�ED: 9 ��� —� <br /> FEES 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_�/ SITEINSPECTION <br /> Numbe��of SAC Units ,s A� l�A,e� ,2• Z�•�3 +�39y°I OTHER (spec�) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning Dist�-ict: • <br /> Fire Department• ' Post Office: � School District: <br /> i <br /> Lot Area: Sq.ft. 7i��� Acres � 1 ��.� Width � `�� ��� � � Depth <br /> Survey Submitted: Yes ` No Date of Survey: l� U l . , � <br /> Proposed Setbucks: �(p� �G�C_... � �� � / - � <br /> Front(Lake): � �Cj����;',�,�i. �2'rg�tt Side; ` <br /> L <br /> �l� S � <br /> Rear(Street): � �Side: � <br /> Adjacent Structures: Welland: ' <br /> / . / .. . , <br /> Building Height: Def Hgt. Peak Hgtr � �/� � <br /> Lot Coverage: ��C� ���� <br /> Gi�ading: StaffApprova/Date: ��l,v�� I3y. _ Counci/Approval Date: �-�� e�� <br /> > <br /> Septic: StaffApproval Date: By: �V <br /> ' � C�"1 <br /> Zoning File: # �"� { Resolution: #��/ Resolution Date: � �) <br /> Shoreland District: ��j MCWD Permit: � '�� � <br /> � <br /> Avg. Selback: B1uffSetback: LotCove�•age: --- <br /> Existing Propos d 1 , <br /> flardcover: 0-7�' j��?� � <br /> 75-250' ��� � � ' <br /> 2�0-500' Y�� v ' <br /> 500-1000' <br /> G� �: <br /> Hardcover Variance Required: I'es No__ Date of Council Approval: � Z � <br /> REMARKS(in Izouse): <br /> 33 „i�'j 1 <br /> �f1� <br />