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CHECR OFF LIST FOR ISSUANCE OF PERMITS <br /> � • - FOR OFFICE USE ONLY <br /> � ` � <br /> ADDRESS OR LEGAL: � �� �`s O+ � �1^� ,�" : PID: <br /> DESCRIPTION OF WORR: <br /> ---------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BIIILDING REVIEW BY: � -v' DATB APPROVED: � � `�" <br /> -------------------------- -- <br /> FEES TO BE CHARGF.D: � 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: <br /> Fire Department• Post Office: SchooJ� District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks : <br /> Front (Lake) : Right Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structures : Wetland: <br /> Buil.ding Height: Def . Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes�C� No Date of Council Approval : � <br /> �a;,� q3 <br /> Grading: Staff Approval Date: By: Council. Approval Date: � ' <br /> Septi c: S taf f Approval. Date: BY= <br /> Zoning File: # Resolution #: _`��3? Resolution Date: <br /> REMARRS (in house) : . <br />