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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDR$SS OR LEGAL: �� U�G ��'�� D� F'ID: <br /> DESCRIPTION OF WORR: ��� �CG2SS ST�I-/�� <br /> ZONING REVIEW BY:�- -- ------------DATE APPROVED: �-I1 —�'jt.(---------------- <br /> BIIILDING REVIEW BY: DATE APPROVED: �f"l�"� � <br /> FEES TO BE CHARGED: Misc. Fees Ca].culated By: <br /> PERMIT Yes V No <br /> PLAN REVIEW Yes—� No SEWER CONNECTION <br /> STATE SURCHARGE Yes�NoT 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: L.,�-/U <br /> Fire Department: Po t Off ch ,Ql District: <br /> Lot Area: W' th• D <br /> Survey Submitted: Yes� No Date of Survey: g'1�� <br /> Proposed Setbacks: �1 <br /> Front (Lake) : i✓�/+- Right Side: � <br /> Rear (Street) : /�/�iT Left Side: yZ, <br /> Adjacent ructures: _ Wetland: <br /> Buil�ding Heigh : Def. Hgt. Peak gt. <br /> Avg. Setback: Lo Coverag : <br /> Existing roposed � <br /> Hardcover: 0-75 <br /> 75-250 <br /> 250-500 ' <br /> 500-100 ' <br /> Hardcover Vari nce Requir d: es No ate of Council Ap ovaz: <br /> Grading: Staff Approval Da e: By: Council Approv 1 Date: <br /> Septic: Staff pproval. Date y: <br /> Zoning File: # Res u ion #: Resolution Dat : <br /> REMARRS (in h se) : <br />