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-; �` CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDR$SS OR LEGAL: ''I3� 6'����� 5�1� ��� PID: � <br /> D$SCRIPTION OF WORR: Y��-<<- f�N � 3 S''-'`�So� �J 2C (-1 <br /> -------------------- - <br /> ---------------------- � 5 <br /> ZONING REVIEW BY: DATE APPROVED: L Y �/ <br /> BIIILDING REVIEW BY: ��: — DATE APPROVED: Z -�`� � � <br /> ---------------------- ------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ci 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 /> ------------------------------------------ � - /� <br /> ZONING CHECR LIST Zoning District: G <br /> — ------- <br /> Fire Department: I� �_ os Office: School. District: <br /> Lot Area: �( )5!> � Width: ��� ' + __ Depth: <br /> Survey Submitted: Yes�_ No Date of Survey: I - FS ��g� - <br /> Proposed Setbacks: � � � <br /> Front (Lake) • ( °l2 +' Right Side: � 28' <br /> Rear (street) : Af (A- <br /> Left Side: W t �� �' <br /> Adjacent Structures: (����� Wetland: pU��- <br /> Building Height: Def . Hgt. (� •IL _ Peak Hgt. <br /> Avg. Setback: �•i2 P�2- -� •'�• �- Lot Coverage: ��� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' 1 S� '� l g d `� <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No oC Date of Council Approval: <br /> Grading: Staff Approvall�ate: fBy:� �uncil. Approval Date: <br /> ; <br /> � � <br /> Septic: Staff Approval. I��te: � I BY=..;_ ,' <br /> Zoning File:# � `�tesol.�tion #: ' Resolution Date: <br /> � � <br /> REMARRS (in house) : 1 � <br /> V � � <br /> � <br /> � � <br />