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" CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �O t-1 1'U'0 s'ZTIi �h4C)IZ� L�(� <br /> PID: <br /> DESCRIP'I'ION OF WORK: �T'Oi2w� �144N94Ca� l'���4((Z <br /> ' r --------------------------------------------_____---__ <br /> ZO�TING REVIEW BY: N �A DATE APPROVED: <br /> BUII�DING REV�W BY: � DATE APPROVED: 6_/p. �,c� <br /> FEES TO BE CAARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes No_1� SEwER CONNECTION <br /> STATE SUR�HARG� Yes _1� No WATERCONNECI'ION <br /> INVESTIGAT'ION FEE Yes No PARK FEE <br /> SAC Y:;s No STTEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /7/(� G I�fi�}-j�j� LS <br /> Fire Department: Post Office: � School District: <br /> Lot Area: Sq.ft. Acres 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: Wedand: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coveraoe: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File; # Resolution: # Resolution Date: <br /> ShoreIand Dis�ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> • Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REI�ZARI�S('m house): <br /> • 26 � <br />