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1 <br /> CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S�O �b(L T1-� 'f4 R.�h p2 PID: <br /> DESCRIPTION OF WORR: Y.�ETMv1-�`=-� ��2�C°� <br /> --=------- ----------------- <br /> ZONING REVIEW BY: DATE APPROVED: 1(� - �'�'lK <br /> BIIILDING REVIEW BY: DAT$ APPROVED: l0 - b' "I� <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 v� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------- <br /> ZONING CHECR LIST Z n� D' st ic : <br /> Fire Department: Po t Off ol. District: <br /> Lot Area: Wi epth: <br /> Survey Submitted: Yes� No Date of Survey: ON �'�� y�2�` J3 <br /> � <br /> Proposed Setbacks: � N� <br /> F�� (Lake) • /10 �` Right Side: � �2' <br /> &e.a� (Street) : ZYS r } Left Side: r�3 � �`"/ <br /> Adjacent Structures: 3 5 � Wetland: ��� <br /> Building Height: Def . Hgt. (9• �� Peak Hgt. (�• I< <br /> Avg. Setback: C� � ��- Lot Coverage: � � <br /> Existing Proposed <br /> Hardcover: 0-75 ' � <br /> 75-250 ' /y�� ��° <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No �- Date of Council Approval: <br /> Grading: Staff Appr al Dat : By: Council Approval. Date: <br /> Septic: Staff Appr al D e: Y= <br /> Zoning File•# Resol tion # . Resolution Date: <br /> REMARKS (in hou e) : <br />