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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> P�DDRESS OR LEGAL: '�_� `_a L�r►�-lc. L�':i�l r� !�-'''z-� PID: ���'- // � - .: � .�� �'Q�`,• <br /> L' <br /> DSSCRIPTION OF WORR: �- � � ,� �� �- " <br /> ----------------------------- - <br /> ZONING REVIEW BY:_� DATE APPROVED S!fl-�+ Z <br /> BIIILDING REVIEW BY: DATE APPROVED: ,j'( �'SZ" <br /> FEES TO BE CHARGED: Misc. Fees Ca1cul.ated By: <br /> PERMIT Yes� No <br /> PLAN REVIEW Yes� No SEWER CONNECTION <br /> STATE SURCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No p� PARK FEE <br /> SAC Yes No� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: G,%-/� <br /> Fire Department:�yLO�� Post Office: /��� School. District: <br /> Lot Area: /6 Z�� �T .3���Width: y D � Depth: /� �1 �3 <br /> Survey Submitted: Yes� No Date of Survey: ►Z- I 1 � �r I <br /> Proposed Setbacks: , <br /> Front (Lake) : SS� Right Side: 32 <br /> P,ear (S treet) : /��� Lef t Side: Z� � <br /> Adjacent structures: 10 � wetland: /U(f} <br /> Building Height: Def. Hgt. � • �� _ Peak Hgt. <br /> Avg. Setback: � '� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' 2�3 .�`�° 2�f 7a <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: # l � I� Resolution # : �Of�b Resolution Date:�-5- �7 Z <br /> REMARRS (in house) : " <br />