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• - • - CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `�S c7`T G(!J/�G S�� PID: <br /> DBSCRIPTION OF WORR: STJ4(� 12�GT-�L�GPyY��r C�'X �'�'� e�� - <br /> ------------------- - --------------------------------------------------��-. <br /> ZONING REVIEW BY:�� �� _ DATS APPROV�: Z� 3- �� <br /> BIIILDING REVIEW BY: (�� �X�Y�-- DATS APPROVSD: Z-3'9$' <br /> gggg q•p gg Cg�gG�: 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 � PARR FEE <br /> SAC � Yes No�— SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------- <br /> ZONING CHEGR LIST Zoning Dist i t: <br /> r-- : <br /> Fire Department: Po O ice: o i • <br /> : <br /> , <br /> Lot Area: Wid � ep <br /> Survey Submitted: Yes�C No Date of Survey: �-zY-�g � <br /> Proposed Setbacks: <br /> Front (Lake) : ��� Right Side: /U�f� <br /> Rear (Street) : 36��' Lef t Side: N //¢ <br /> Adjacent Structures: (8 � Wetland: ��� <br /> Building Height: Def. Hq . P k Hgt. <br /> Avg. Setback: t Cov rage: <br /> Exis in Prop ed ; <br /> Hardcover: 0-75 ' <br /> 75-250' <br /> 250-500' <br /> i <br /> 500-1000 ' <br /> Hardcover Varian e Require : es o Date of Coun,cil Approval: <br /> Grading: Staff Approval. Da e: B : Council, Approval Date:_. <br /> Septic: Staff Approval. Da BY: <br /> Zoning File: R olutio #: Resolution Date: <br /> REMARKS (in honse) : <br />