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� , � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> - FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I �_t O (,e q�► C,1ltG� ��U� PID: <br /> DESCRIPTION OF WORR: ZN� S��r Y�-!�✓� �'�"L� <br /> --------------------- -- ---- ------ ----- ------------------3-- <br /> ZONING REVIEW BY: DATE APPROVSD: � `Z Y`f <br /> BIIILDING REVIEW BY: DATS APPROVED: 2"Z�-�)3 <br /> gggg Tp gg Cg�Ggp; 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 /> ----------------------------------------g---------_-------J------------------ <br /> ZONING CHECR LIST Zonin District Q�(C' _ <br /> Fire Department: � C Post Office: /�/C- School. District: <br /> Lot Area: N� Width: Depth: <br /> Survey Submitted: Yes � No Date of Survey: �- � � -- � 3 <br /> Proposed Setbacks: / <br /> Front (Lake) : �.� Right Side: �.� <br /> !d/ <br /> Rear (Street) : �O Left Side: <br /> Adjacent Structures: � � + _ Wetland: � �� <br /> ! <br /> BuiJ.ding Height: Def. Hgt. a3,�o� Peak Hgt. � �.� <br /> Avg. Setback: �/�i�- Lot Coverage: � �a <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> �s—a5o � 3 2� � 3 �� <br /> a50—soo� 1��� 1�y� <br /> 5oo—i000 � <br /> Hardcover Variance Required: Yes No �-- Date of Council Approva�:�_ <br /> Grading: Staff Approval. Date: By: Council Approval Date: <br /> Septi c: Staf f Approva]. Date: BY� /�� ro <br /> Zoning File:# � Resolution #: Resolution Date: <br /> REMARRS (in house) : <br />