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CgECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY ' <br /> ADDRESS OR LEGAL: 2�"I S� ��'t� �� PID: <br /> D$SCRIPTION OF WORK: ��-I� <br /> ------------- ------- <br /> -------------- <br /> ZONING REVIEW BY- � --- DA�`E APPROVED: Z - Z-3�i� <br /> BIIILDING REVIEW BY: � DATE APPROVED: 2-- Z.3�5 5 - <br /> ----- ---------- <br /> FEES TO BE CHARGED- Misc. Fees Cal.culated By: <br /> PERMIT Yes ��No <br /> PLAN REVIEW Yes f No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No J SITE INSPECTION <br /> Number of SAC Units OTHER ( specify) <br /> ----------------------g--- <br /> --------------- <br /> ZONING CIIECK LIST 7onin District: C�-�Q <br /> Fire Department: 1�1�•�u�c� <br /> Post Office: �,v.�i„z.s-r� School. District: Yl?,v� <br /> Lot Area: � / � Wi dth: /t' �� Depth: <br /> Survey Submitted : Yes o�- <br /> No Date of Survey: 6� ��� �� <br /> Proposed Setbacks : r �� � �. <br /> F�r�t (Lake ) : �1c� � Right Side: - <br /> / � <br /> Rear ( Street) : ✓V I t�} Lef t Side : � <br /> Adjacent Structures : � T����� Wetland: ,t/�i'� <br /> Bui�.ding Height: Def . Hgt. /!/�� Peak Hgt. �1f9 <br /> Avg. Setback: ��� Lot Coverage: /" �� <br /> Existing Pr000sed <br /> Hardcover: G-75 ' <br /> 75-250 <br /> , � ,� ���� Z1 .6�' O�o <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required : Yes No � Date of Council Approval : <br /> Grading: Staff Approval Date: ��f� �Y� <br /> Council. Approval Date : <br /> Septic: Staff Approval Da BY� <br /> Zoning Fil.e• # eso uti # � Resolution Date :�. <br /> REMARRS (in house) : <br />