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CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR I�EGAL: ,'� �� � �Zih�� ��1.�`-�c' `��L. PID: L��� �I7 - � 3 �.,13 00/,� <br /> DESCRIPTION OF WORR: � X -� %� � �-��1� <br /> -------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: „._. DATE APPROVED: � ���" � �� <br /> BIIILDING REVIEW BY: DATE APPROVED: �v" � � "'�►� <br /> FEES TO BE CHARGED: Misc. Fees CalcuJ.ated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes !/� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �" No WATER CONNECTION <br /> INVESTIGATION FEE Yes No Cr�- PARK FEE <br /> SAC Yes No 4-� SITE INSPECTION <br /> Number of SAC Units OTHER ( specify) <br /> ------------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: L/L- �L <br /> , �-. <br /> Fire Department: Po t 0 f,�i � � School District: <br /> % � i <br /> Lot Area: Wid " ` ' epth: <br /> Survey Submitted: Yes� No Date of Survey: �vv4�y ZS` - `�`� <br /> Proposed Setbacks: � <br /> �t (Lake) : I �S Right Side: 39' C. <br /> Rear (Street) : rU �� Lef t Side: Z4 � �c�� <br /> Adjacent Structures : /4-�1�(f�,, Wetland: /U�✓� <br /> Building Height: Def. Hgt. /t1�i4- Peak Hgt. <br /> Avg. Setback: D'U �I� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' /iI ' <br /> � <br /> 75-250 ' I��� 'l �l .5�6 <br /> 250-500 ' r�') °��.. <br /> 500-1000 ' <br /> Hardcover Variance Required : Yes NoD� Date o� Council Approval: <br /> Grading: Staff ApprovaS Date: B : Council Approva� Date : <br /> t <br /> Septic: Staff Approv jDate: By: <br /> > <br /> Zoning Fi�e: # solution �� i Resolution Date: <br /> REMARKS (in hou e) : ;� � <br /> � <br /> ,,, <br /> � <br /> ,. <br /> � <br />