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CHECR OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> r � <br /> - PID: <br /> ADDRESS OR LEGAL: I�1c� �-Y►��'`�N - <br /> DBSCRIPTION OF WORR: -C-k <br /> ---------------- <br /> ------------------- <br /> ---------- � . _ <br /> ZONING REVIEW BY� DATE APPROVED: 7 `5 -`7,- <br /> _.. � <br /> DATE APPROVED: �`5 �45 <br /> BIIILDING RL�7IEW BY: _ _ _ ---------------------------- <br /> -------------------- <br /> ---r- --------------- <br /> ------- <br /> FEES TO BE CHAItGED- Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW � SEWER CONNECTION <br /> No WATER CONNECTION <br /> STATE SURCHARGE YeS � No pp,RK FEE <br /> INVESTIGATION FEE �'eS SITE INSPECTION <br /> SAC Yes No <br /> OTHER ( specify) <br /> Number of SAC Units ---------- <br /> --------------- <br /> ------------------------- <br /> ---- �3 <br /> ZONING CHECR LIST Zoning District: ( �-1 - <br /> Post�fic Sch9oJ. District: <br /> Fire Department: ; — <br /> � . <br /> %�Width:�� t� <br /> Lot Area: � � <br /> Survey Submitted• Yes X No Date of Survey: / �` �7� � `� <br /> Proposed Setbacks : � � Right Side• t "z s � <br /> Front (Lake) : IUO <br /> �� Left Side: �yL I <br /> Rear (Street) : �2- ^ <br /> Adjacent Structures: �}��1�:`r� <br /> Wetland: W��� <br /> Height: Def. t. i�r Peak Hg - <br /> Building � <br /> �� Lot Coverage��� <br /> Avg. Setback: � p oposed <br /> Ex' st'ng � ` <br /> � <br /> Hardcover: 0-75 ' ,i <br /> ; <br /> 75-250 ' ,�i <br /> � <br /> 250-500 ' '� <br /> 500-1000 ' � <br /> Hardcover Varianc Require : �'es <br /> /No_�` Date of Coun il Approval : <br /> Grading: Staff Ap roval Da e: B�= <br /> Council. pproval Date: <br /> Septic: Staff Ap�roval. Dat : J By= <br /> R ��ol.ution # : � Resol.ut on Date: <br /> Zoning File:# � , <br /> / �t-c :.�`- <br /> gEMARKS (in hoiise) : �+�� �-r � G�l?.i �55��� 2 �e�.c� 7-�' `� - <br /> j.,,.e(Lw... . ��- � S- (n T <br /> // L� <br /> Nli / ��C.✓��> O/4'•— ')"(jt�� �� �ru� ,f� !55 LJ f/�6 �E'f � %� L�� ' � <br /> �'�-L s ,� ��,r�: � -- N� h}�����—=� ����``� �='� <br /> _C2 <br />