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• � ' CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ /S Z S c�on�6 c.a ruc' fjC,�v� <br /> PID: <br /> DESCRIPTION OF WORK F�2C �0 r�v►�v�� c2C p�A��2 <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: N�� DATEAPPROVED: <br /> BUILDING REVIEW BY: � w--� DATEAPPROVED: `1-Lq• �Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No v SEWER CONNECTION <br /> STATE SURCHARGE Yes e/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No c� SITE INSPECTION <br /> Number of SAC Units OTHER(specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: NO c�ANG�. <br /> Fire Depa�7ment: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Subrnitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Lefi Side: <br /> Adjacent Stra�ctures: tland: <br /> Building Height: Def. Hgt. P k Hgt. <br /> Lot Cove�•age: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolution:# Resolution Date: <br /> Slioreland District: <br /> Avg.Setback: Bluff Setba k: LotCoverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 31 <br />