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• � • CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI,: �(��� L Y��C �1�L _PID: <br /> DESCRIPTION OF WORR: J C�l� <br /> -----�---------------------------------- <br /> Z ONING REVIEW BY: � L. �,_ � � ���---_ DATE APPROVED: [�-���7 Y <br /> BIIILDING REVIEW BY:��✓ ,i , . �::-- . DATE APPROVED: C-�" 3-�� <br /> ------------------------- <br /> FEES TO BE CHARGED: 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: t ""� f � � � <br /> Fire Department: � Post Offi,�e� i Sch�al District: <br /> _ -- � r--- <br /> Lot Area: �/ �-� �Width: �� � �� ��h�-- <br /> Survey Submitted: Yes 1� No Date of Survey: <br /> C�r� (=r �1�:� <br /> Proposed Setbacks: , <br /> Front (Lake) : � �'`` Right Side: � l � <br /> � <br /> Rear ( Street) : 7�� + Lef t Side: �y <br /> Adjacent Structures: �%7�-���--=� Wetland: �'� �/�' <br /> Buil.ding Height: Def . Hgt. ���" ��'`� Peak Hgt. <br /> i . <br /> Avg. Setback: f`' �� Lot Coverage: G� <<- �� <br /> Existing Proposed <br /> Hardcover: 0-75 ' � <br /> � <br /> 75-250 ' ; <br /> -� D (L <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approva�e��xT_ <br /> Grading: Staff Approval. �D�te: By: ' Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File• # Reso�ution # ' Resolution Date: <br /> REMARRS (in house) : . <br />