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CHECK OFF LIST FOR ISSUANCE OF PERMITS`' <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4-0+ �;' S E-}c?('r- �- A 2- . PID: <br /> DESCRIPTION OF WORK: h n 2- (-J TD 2 G' e 7 A r <br /> --------------------,-,pp-------------------------------------------------------- <br /> ZONING REVIEW BY: C7 DATE APPROVED: S-1 <br /> BIIILDING REVIEW BY: (GUVDATE APPROVED: ,$=/Y'�Z� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: 1-4- 113 <br /> Fire Department: A4,6(_,Ad Post Office: "a.-w.0 School District: <br /> Lot Area: 2 S 110 Width: //D.e' 4 f�U-e Depth:- 2_20 <br /> Survey Submitted: Yes X No Date of Survey: <br /> Proposed Setbacks : <br /> Setbacks : <br /> F'rN�A <br /> ent (Lake) : IVIA Right Side: <br /> Raa.F (Street) : / 2 2. Left Side: 19, 1 -4 <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. /0(4 Peak Hgt. <br /> Avg. Setback: /L/�/� Lot Coverage: <br /> Existing Proposeeq <br /> Hardcover: 0-75 ' I ' 13.46 /a <br /> 75-250 ' 3$-(0 38"• O%G <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes_C No Date of Council Approval: $ -72- <br /> Grading: Staff Approval Date: By: Council Approval Date:_ <br /> Septic: Staff Approval Date: By: <br /> Zoning File:# /780 Resolution Resolution Date: <br /> REMARKS (in house) : <br />