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� <br /> , , CHECR OFF LIST FOR ISSIIANCE OF P�IITS " <br /> FOR OFFICE USE ONLY <br /> ADDR$SS" OR I�EGAL: (��� //l T1�0� r�IG�{-G/¢!'�l�S PID: <br /> DBSCRIPTION OF WORR: �D� �� <br /> ---------------------- - ---------------------------------------------------- <br /> ZONING REVIEW BY: DATS APPROV$D: Sr= `�-`7Y <br /> BDILDING RSVIEW BY: 1;��`�� DATS APPROVED: S _. � _ �y <br /> F�S TO B$ CHARG�: 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� PARR FEE <br /> SAC Yes No v-� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------g---------�--------------------------- <br /> ZONING CHSCR LIST Zonin District L2-/� <br /> Fire Department:��>,�,(,�„9//� Post Office: School� District: pQ-�Nd <br /> 7- <br /> Lot Area: � .Lo (;}e�3 Width: /22�Gu Depth: .��Uc.,4� <br /> Survey Submitted: Yes t/ No Date of Survey: `!- >-�'i`� <br /> Proposed Setbacks: � <br /> �� (Lake) : 23S �� Right Side: �/� <br /> .�r (street) : 1 od' -1- Lef t side: /V�A <br /> Adjacent Structures: ��4G�� Wetland: /✓�� <br /> Bui�ding Height: Def. Hgt. d • (�- Peak Hgt. <br /> Avg. Setback: �-��. Lot Coverage: /V�/4 <br /> Existing Proposed <br /> Hardcover: 0-75 ' G1 •� �� <br /> 75-250 ' 1� • �/ <6 <br /> 250-500 ' 1 �. �� �o <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No �( Date of Council Approva].: <br /> .s <br /> Grading: Staff Approval Date: By cil Approval Date: <br /> �� <br /> Septic: Staff Approva]. Date: By: ' <br /> Zoning File:� R so u on #: Resolution Date: <br /> RffiKARRS (in house) : <br />