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� _ . <br /> CHECR OF� LIS,T FOR ISSIIANCE OF P$RIKITS <br /> ' ` FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI�: 1�.�-v+ PID: CJ�S" �l 7 'Z� ' Z,�,-C�( ( <br /> DESCRIPTION OF WORK: � � <br /> ----------------------- --------- ------------------------------------------- <br /> ZONING REVIEW BY��,� DATE APPROVED: Q�-� �I <br /> BDILDING REVIEW BY: DATE APPROVED: G '"��� <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 SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------/-►-��---------------- <br /> ZONING CHECR LIST Zoning District: L„�--1 (-t" <br /> Fire Department: Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes� No Date of Survey: <br /> Proposed Setbacks: D� � <br /> Front (Lake) : Right Side: <br /> / <br /> Rear ( Street ) : ���� Left Side:�� <br /> Adjacent Structures : �� � Wetland: J <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hard�o��er: n-�5 � <br /> 75-250 ' � <br /> 250-500 ' � <br /> 500-1000 ' ` _ � <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File:# Resolution #: Resolution Date: <br /> REMARRS (in house) : <br />