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: <br /> � _+. . <br /> CHECK OFF LIST FOR ISSIIANCE OF PER.'�iITS <br />� FOR OFFICE USE ONLY <br /> �DDRESS OR I,EGAL: ��(S S' /U0�-T]� SlfGRL D/Z PID= <br /> '�SCRIPTION OF WORR: �/� c� 5�2- t �`t oov <br /> ------------------------------------------ <br /> ---------_-/�_-2_- <br /> '027ING REVIEW BY: �;,Cn(t,J.�..-� DATE APPROVED. / �-3 <br /> � <br /> /I j <br /> �3�TLDING REVIEW BY:�C� C',,��_ DATS APPROVED: /G �lZ �J : <br />---------------------- --------------------- <br /> "7EES TO BE CHARGED: Misc. Fees Calculated By: <br /> ERMI T Ye s `� �No � - <br /> �LAN REVIEW Yes � No SEWER CONNECTION <br /> 'T�TE SURCHARG� Yes � No WATER CONNECTION <br /> WESTIGATION FEE Yes No � PARR FEE <br /> ,�C � Yes No � SITE INSPECTION <br /> •�unber of SAC IInits OTHER (specify) <br /> --------------------------------- <br /> �'ONING CHECR LIST Zoning District: C/==-��=- <br /> ire Department: 4 b�,�=>���-z` <br /> Post Office - (,JW-c�7�-�- School District: C���-oa!� <br /> ��t Area: 1 3, ZZ.� � a �r-r Width: $� ' Depth: 2�`1.� l � ►4 � � <br /> urvey Submitted: Yes < No Date of Survey: '7 - Z Z` F�� <br /> :^roposed Setbacks: , � , - <br /> �rorrt (Lake) : iS� Right Side: � % <br /> �� (Street) : 7s`� � ± Lef t Side: �( � (� ; <br /> Adjacent Structures : Z�"�� � Wetland: /�l/'� <br /> ""�a.ilding Height: Def . Hgt. <br /> Z.c�` Peak Hgt. �v -`7 <br /> :,vg. Setback: C�• (G Lot Coverage: / 3 • 3 <br /> Existing Proposed <br /> '�ardcover: 0-75 ' <br /> 75-250 ' 2� • g�� <br /> 250-500 ' <br /> 500-I000 ' <br /> Hardcovzr Variance Required: Yes No� Date of Council Approva�: <br />'' 'rading: Staff Approval Date: By: Council. Approval Date: <br /> �ptic: Staff Approval. Date: ✓v�/� By: <br /> ning File:� (SfS�S <br /> Resol.ution �: � '> � �• Resolution Date: (� �(1`S� <br /> tARKS (in house) s <br />