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� � <br /> ' CHECR OFF LIST FOR ISSIIANCE OF P$RMITS <br /> FOR OFFICE USE ONLY <br /> ADDRBSS OR LEGAL: ��� LJ�'1�,/1 C'�c,c.1 ���(���PID: �� � ` /��"�� c�-� OG U� <br /> V <br /> DESCRIPTION OF WORR: �CJ � I - <br /> -----------------------------------------------------.. <br /> -------------------,-p-n- � <br /> ZONING REVIEW BY: c�"�,KD DATE APPROVED: � - ( - � i <br /> BDILDING REVIEW BY: � ,Q� (�-.,.____ DATE APPROVED: ")- (—r't 1 <br /> FEES TO BE CHARGSD: 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 .✓'� � PARK FEE <br /> SAC Yes No [/� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHECR LIST Zoning District: ��"� � <br /> Fire Department: L.(.,_.- Post Office: School District: DlLp,� <br /> Lot Area: Width:. Depth: <br /> Survey Submitted: Yes� No Date of Survey: �, - ?�- � <br /> Proposed Setbacks : � <br /> Front (Lake) : I% ;� Right Side: ( 0 5 � <br /> Rear (Street) : $O�-� Left Side: (D� # <br /> Adjacent Structures : 1� � Wetland: /1��/4 <br /> Building Height: Def. Hgt. N�l�" Peak Hgt. Il�`�Q <br /> Avg. Setback: N�' _ Lot Coverage: /V l R- <br /> Existing Proposed <br /> Hardcover: 0-75 ' - <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File:# Resolution # : Resolution Date: <br /> R$MARKS (in house) : _ <br />