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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�� I�W��SUt�✓p..�D✓ <br /> PID: <br /> DESCRIPTIONOFWORK: (/�� ?�1Cc Stc �,.rg� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING RE f�IEW BY.• DATEAPPRO[jED: ( �- �-U�o <br /> BUILDINGREVIEWBY.• DATEAPPROVED: �� -��g -e�c� <br /> FEES TO BE CHARGED: / Misc. Fees Calculatec�By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes r� 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 CHECK LIST Zoning District: (�� —� � <br /> Fire Deparby�ent: Post Office: School District: <br /> Lot,4rea: Sq ft. Aci�es Width Depth <br /> Siuvey Subrnitted: Yes No_� Date of Survey: �g WIK,�.� /r1�j�Q„ � <br /> �Q 8G s {�,- cons l�,c�r v►-+ o FGr�SR. <br /> Proposed Setbacks: /1 o G���'1i <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Yd'etland: _ <br /> Ba�rlding Height: Def Hgt. Peak Hgt. <br /> Lo!Coverage: <br /> Grading: Staff�tpprova!Date: 13y: C:oza�cil Approval Date: <br /> Septrc: StaffAppi•oval Date: ���}' By: <br /> Zvning File: # Resola�tiorr: # Resolirtia�r Date: <br /> Shorela��d District: NICG��D Permit: <br /> �(Yg. Setback: 131i ff Setbac%: Lot Coverage: <br /> Existing Proposed <br /> Ha��dcover: 0-7.i' <br /> ?J-?.50' <br /> � 2sn-sno� <br /> 500-1000' <br /> Hardcover l ariance Reyuired: }es t��o Date ofCoa�r�cil.�lppi�oval: <br /> REMARKS(in ltouse): c,,i C. Ivlc.�G� C.��1tn�t � b�-✓ <br /> � t �' o�- o z,wi� srz � Cks shu.�n_[e�� swv��, �✓ <br /> bu�l ti.0 ne.vu►1t� 2�C.�} w�1Kc�,v�. n,���vtu scdt o� �1cvsL (n�w.v b��1��� <br /> �� <br />