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� � CHECi� OFF LIST FOR ISSIIANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR I�EGAL: {�-( °j� C,�.�N G C�+4-�u= /�L V� �'ID= <br /> DESCRIPTION OF WORR: ►'�-��-�-i�=�=' t=='���C <br /> ----------------------------------------- <br /> ZONING REVIEW BY: ���to L�,�.-� _ DATE APPROVED: /c> • 27-S 3 <br /> BIIII,DING REVIEW BY: r T"-."� C�-� DATE A P P R O�T E D: (U" �-1 - E � <br /> --------------- ------ <br /> FEES TO BE CHARGED� Misc. rees 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 /> ----------------------------- . /1 <br /> ZONING CHECR LIST Zoning District• L. <br /> _.,_--�.� _ <br /> Fire Department• /V� ( �-- "�S��� 1ce� ' �� Schoo7� District: <br /> . ^ <br /> Lot Area: �Z-, t;;;�} � ---�� Width: r2�_,r;�. Depth: <br /> Survey Submitted: Yes� No Date of Survey: (-.5 ' �'3 <br /> 1 n,` 2�N ��`� -c�I�. <br /> Proposed Setbacks: � ��� <br /> Front (Lake) • /t/ ��+�? Right Side: /6 �J_ <br /> Rear (Street) : yy � �N, Left Side: Nfr� <br /> Ad j acent Structure s: j=1 T%i{F�,�F e�� Wetland: /Lr��f1 <br /> Bui�ding Height: Def . Hgt. � • j�- Peak Hgt. <br /> Aqg. Setback: /w'� /`�� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' i �'�° �� �-���`� <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approva� Date: � �' ,'� By: Council Approval Date: <br /> Septic: Staff Approval Date: By= <br /> Zoning File: # (k'S`-� <br /> Reso�ution # :� �> 7 Resolution Date: !� - i(��� <br /> �_F.MARR$ (in house) : <br /> _ . _. <br /> � � � `�__.� L.c��_:: 6 l f �. .`->'� �)c'� �l 6�vc:�F�: <br /> ��-- L—.- v <br /> r <br /> QL� � c2L �� ��� �Yt � ti I�s�;� r-- <br />