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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ' � � FOR OFFICE USE ONLY <br /> � . <br /> AD�R$SS OR LEGAL: �I(�C� � �� I S�� � PID: <br /> DSSCRIPTION OF WORR: S l�C.C� �"� C:x i�nNG �u nr��rLo r�1 <br /> � -- ------------------------------------------------------ <br /> -------------------- <br /> ZONING REVIEW BY: _ DATE APPROVED: I ` ��'Ci`� <br /> J3IIILDING REVIEW BY: DATS APPROVED: �J�- / '�I �7 `� <br /> -------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMZT Yes ✓ No � <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE S[JRCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/' PARK FEE <br /> SAC Yes No 4- SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------ <br /> ----------------------- <br /> ZONING CHECR LIST Zoning District: ��2-1(3 <br /> Fire Department: W�`iZA�- Post Office: wA�'�'n'; School. District: d��a <br /> Lot Area: /���-- Width: — Depth: � <br /> Survey Submitted: Yes�_ No Date of Survey: o� 1 4=;t-� <br /> Proposed Setbacks: � + <br /> F2t5irt (Lake) : / /v �' Ri ght Side: ��v t <br /> ,-�e�a-� (Street) : `��� f' L?ft Side: �J� � <br /> Ad j acent structure s: � �°O� '� wetland: /V�</� <br /> BuiJ_ding Height: Def . Hgt. f b � _ Peak Hgt. 2'Z � <br /> Avg. Setback: /V�� Lot Coverage: � • ��' <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' �J �C <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No pr- Date of Council Approval: <br /> Grading: Staff Approval Date: '— By: Council. Approval. Date: <br /> Septic: Staff Approval. Date: -- BY� <br /> Zoning Fil�e:# '� Resolution �: � Resolution Date: "� <br /> REI�RRS (in house) : <br />