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� � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY , <br /> ADDRESS OR LEGAL: y 1 y 0 /Vv/�77�1 �N-o/t� p2 � � - <br /> PID: <br /> DESCRIPTION OF WORK: 0 2 c�-+ t (9-�c,tL <br /> ZONING REV�W BY: DATE APPROVED: 9-�S- 9� <br /> BUILDING REV�W BY: DATE APPiZOVED: q- �s-S� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓' No <br /> PLAN REVIEW Yes �i No SEWER COrfNECTTON <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEIN5PECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: iv n G(� <br /> � Fire Department: Post Office: School District: <br /> �.C- <br /> t Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes� No Date of Survey: po•� r 1l.� <br /> Proposed Setbacks: <br /> Front(Lake): (00 t '� Right Side: �` '�" � <br /> Rear(Street): J b�` + Left Side: 35` f" <br /> Adjacent Structures: A�c hfc� Wefland: �'✓�� <br /> Building Height: Def. Hgt. ��� Peak Hgt. �' <br /> Lot Coverage: �— <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> eptic: Staff Approval Date: By: <br /> � ` oning File: # Resolution: # Resolution Date: <br /> Iv� <br /> horeland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> asasoo� <br /> soo-i000� <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REI�ZARI�S(in house): <br /> 7 <br />