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� CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ' � FOR OFFICE USE ONLY <br /> . / , /�/ <br /> ADDRRSS OR LEGAL: �'j06�-�, No(L'FW S Mfl(� 02 PID: ��I'// �'� �✓ "`� '1 `��� <br /> DESCRIPTION OF WORK: �J�t" �� <br /> ZONING REVIEW BY:--�---C�--------DA� �PROVED:---'7�7 O �?5 <br /> BIIILDING REVIEW BY: �} �.e�,_ DATE APPROVED: 7' ?�-ci S <br /> ------------------- ----------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes V' �N'o SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No—� WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARR FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC IInits OTHER (specif y) <br /> ZONING CHECK LIST -----------------Zoning District: (►R- 1�-- <br /> Fire Department: Post Office: �ou_�+� School. District: w�es�sN � <br /> Lot Area: 2D,ea� Width: t O� Depth: Z�� <br /> Survey Submitted: Yes� No Date of Survey: 6•°7-`1�_ <br /> Proposed Setbacks: , <br /> Front (Lake) : 10 H � Right Side: Y 0� <br /> � .}, �' �,,, <br /> Rear (Street) : ?3.g -- Left Side: <br /> Adjacent Structures: 1 t�� Wetland: (0 0 r <br /> Bui].ding Height: Def. Hgt. �•�� Peak Hgt. D.1� <br /> Avg. Setback: fv�� Lot Coverage: ��a <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 ApprovaJ.: <br /> Grading: Staff Approval ate B . Council Approva� Date: <br /> Septic: Staff Approva]. te Y= <br /> Zoning File:� solutio �: Resolution Date: <br /> RENIARRS (in honse) : <br />