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� ' � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (O c S C-f N h{N (�rv t, PID: <br /> DESCRIPTION OF WORR: � 2L�� ' <br /> ----------�-,----/�--------------------- • <br /> ZONING REVIEW BY= C�k-c.�Cl�.I�►�w'� DATE APPROVED st- l6 ``!3 <br /> BIIILDING REVIEW BY: ��,R.� DAT$ APPROVF•D: �''(�`5 � <br /> --------------- -- <br /> FEES TO BE CHARGED� Misc. Fees Calculated By: <br /> PERMIT Yes�No <br /> PLAN REVIEW Yes �o SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> SNVESTIGATION 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: <br /> Fire Department• /jWvn+�.— Post Office: 11/�ov.�.� Schoo� District: ��"� <br /> Lot Area: 30 � 7 Width: g� ' '� Depth: 3 tSlo ��- <br /> Survey Submitted: Yes� No Date of Survey: �{- 2Q '�i� <br /> Proposed Setbacks: <br /> Front (Lake) : Right Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structures : J�;'�1�.4-FE�� Wetland: NIA <br /> Buil.ding Height: Def. Hgt. p .(�_ _ Peak Hgt. <br /> Avg. Setback: N � �- Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 7s-25o � .)3 23.g °'! o <br /> 250-500 ' <br /> 500-I000 ' <br /> Hardcover Variance Required: Yes No cc Date of Council Approval: <br /> B Council Approval Date: <br /> Grading: Staff Appr al Date y= <br /> Septic: Staff Appro a Date: B ' <br /> Zoning File�� Re olution Resolution Date: <br /> REMARKS (in house) : <br />