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. � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADD22ES5 OR LEGAI,: ��� �/�� �C�'�Z/l, ?-e.�ti��� �� PID: � �-O�c�'� -� �!'� 000`J <br /> --� <br /> TJESCRIPTION OF WORK:� ��c'3'�- �������' -- � <br /> �--------------- ' <br /> -------------------� ---------- <br /> ZONING REVIEW BY: � CQ/W�ow DATE APPROVED: g- Zg -5 S <br /> BIII7�DING REVIEW BY: DATS APPROVED: �I-24 -S S' <br /> -------------- ----------- <br /> FEES TO BE CHARGF.D: Misc. Fees Ca1cul.ated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes r/- 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 /> ---- . <br /> ZONING CHECR LIST Zoning District: L.2• /� <br /> ' Po Off � S Y�ool District: <br /> Fire Department: �� � _- <br /> � <br /> � <br /> Lot Area: Wid � eP <br /> Survey Submitted: Yes /� No Date of Survey: ON lr�� <br /> Proposed Setbacks: � <br /> Front (Lake) : ''.� '�' Right Side: 3�� <br /> Rear (Street) : (SL' � '�- Left Side: ��/� <br /> Adjacent Structures: �?77'9GCf�'� Wetland: /VL1�- <br /> Building Height: Def . Hgt. /�///� Peak Hgt. —` <br /> Avg. Setback: O • l�-� Lot Coverage: ��/� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' - p. l� <br /> 250-500 ' <br /> 500-1000 ' - <br /> Hardcover Variance Required: Yes No o� Date of Council Approva�.: <br /> � <br /> Grading: Staff Approval. Date: — By: � Council Approval Date: <br /> Septic: Staff Approva� Date: � BY� <br /> Zoning Fil.e:# -- Resolution # : ------ Resolution Date: <br /> REMARKS (in house) : <br />