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��,�°��- . <br /> �', . �-�,�_s <br /> CHECR OFFFORSOFFI�CEIUSE ONLY�F P$�ITS <br /> ADDRI3SS OR LEGAL:�'��G�� �.:pd M 7"�� >��>�'� ��' PID: �1 �I - ��`j-.� � �;� �7v�� j� <br /> DESCRIPTI ON OF WORR: � ,C7.�-��� - °'-`�'�'� �� <br /> -------------------- - ---------------------------_ -----_� - <br /> ZONING RLVIEW BY: DATE APPROVED (o Ltf I <br /> BUILDING REVIEW BY: DATE APPROVED: G` 2 y�� 1 <br /> ------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION , <br /> STATE SURCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No� PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: L L Post Office: School District: <br /> Lot Area: Width: 2��� Depth: y� � <br /> Survey Submitted: Yes� No Date of Survey: ��2� '6 cl <br /> onl F��.0 <br /> Proposed Setbacks: , <br /> F'rrnrC--f Lake) : ��JS Right Side: /,$D f" <br /> �err (Street) : /U Left Side: �U 1 <br /> Adjacent Structures : Wetland: �j� <br /> , <br /> Building Height: Def. Hgt._� �G� Peak Hgt. �1//�- _ <br /> Avg. Setback: n • �L Lot Coverage: /V�-- <br /> Existing Proposed <br /> Hardcover: 0-75 ' d d ' <br /> 75-250 ' �7• Z� � 3 • � <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: /V !'f�- BY= <br /> Zoning File: # Resolution #: Resolution Date: <br /> REMARKS (in house) : <br />