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�HEC� OT'F i,IST FOR ISSU.ANCE �F PERMITS <br /> � FOR OFFICE USE ONLY� . <br /> ADDRESS ORLEGAL: lsq o c��� cA�� �-v►� <br /> PID: <br /> pESCRIYTIO�i OF WORI�: �Q� � -n v-*—� <br /> ZO�G RE�'IE�V BY: r----- L-_____....__ DA.TE APPR.OVED: 3- i - n�T <br /> gULL3�ING REVIE�Y BY: � . . DATE APPROVED: 3 - ► - 7 <br /> � __ ----=-- ----- ----- ---=-----------------------=---------------------�------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pEg�T Yes �� No <br /> PLAN REVIEtiV � � Yes _�/ No SEWER CONNECTION _ <br /> STATE SURCHARGE Xes _1,� No WATFjRCONNECTION <br /> INVESTIGATION FEE Yes No _l� PARK FEE <br /> SAC �'es No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONI�tG CHE.CK. LIST Zoning Districr. . <br /> Fire Degartrnent: Pos[Office: School District: � <br /> I,ot Area: Sq.ft. Acres Widch Depth � <br /> Survey Submitted:� Yes�_ No Da[e oE Survey: I 2• t� -� � <br /> Proposed Setbacks: • ; <br /> Front(Lake): `�5.2 Right Side: 'Z2-g5 . <br /> Rear(Street): Laft Side: <br /> Adjacent Structures: �Vetland: <br /> �uil�lin;Hei�t: Def, Hgt, (5•1� Peak Hgt. <br /> Lot Coverage: O.IC <br /> Gradin Scaff A roval Date: �� e By: Council Apprvval T�ate: � <br /> a: PP c"""'3�- <br /> SzQtic: 5taf[ Appro��al Date, � �Y� <br /> Zoain� �ile: R� Z S Resolution: n P.esolution Dace: � <br /> Shorela_nd District: y-e� <br /> Avg. Setback: wo� Bluff Setback:��` I.otCoverage: m� _____ <br /> E�isting Proposec <br /> F-I�dcover: 0-75' <br /> 75-2�0' <br /> 2�0-SCKJ' <br /> �00-IOC�J' �' ��� <br /> rl� n��'[?��nri_! A-�� �V2_'. <br /> '�-�1ar�.CGi':. �;c�i?^:C'_ l:�^yU!i�C: �;25 .�0 -•- - - .- <br /> RE�L=�F.I�S (inhouse): <br />