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" CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> �'317DRESS OR I�EGAL: IOS� �� L �N t/> I'g PID: <br /> DESCRIPTION OF WORR: 14��01'�1 C'3v� <br /> ---------------------------------------------------------------- <br /> ZONING REVIEW BY: ,,� DATE APPROVED: <br /> BIIILDING REVIEW BY: - DATS APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Ca�culated 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: C/�'/� <br /> Fire Department: �/j�„pvrv�G� Post Office: �'�ov-�� School District:�� <br /> . <br /> Lot Area:�.°j 8� S. -�. Width: S�� Depth: /f 7# <br /> , <br /> Survey Submitted: Yes �C No Date of Survey: S'-!/--�i.� <br /> Proposed Setbacks : (�� N <br /> �ant (Lake) : '7c� �'F' Right Side:_ <br /> .�e.ar (Street) : n/ ��,- Left Side: /0� `� <br /> Adjacent Structures: /�}-�Fc:-�� Wetland: /1� �/� <br /> Buil.ding Height: Def. Hgt. �• << Peak Hgt. <br /> Avg. Setback: U A�+�C� Lot Coverage: ( °i �° <br /> Existing Proposed <br /> Hardcover: 0-75 ' ( 1 •2°Ta 3 '2� o <br /> 75-250 ' 9 2 .`1 `'Zo C��'. 5 �o <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes .� No Date of Council Approval: -/Z�S3 <br /> Grading: Staff Approval Date: �V�/a By: Council Approval Date: <br /> Septic: Staff Approva� Date: /U(i8 BY� <br /> Zoning File:# 1�3 L� Resolution #: ,33d Z Resolution Date: �-/2-5 3 <br /> REMARRS (in house) : <br />