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, <br /> CHECB OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �,(y2 S ND�ZT1f asfto 2c pR . <br /> PID: � <br /> DFSCRIPTION OF WORK: �4 �,o�r o.� w►a o-L <br /> ZO.vI�Ii G REVIEW BY: DATE APPROVED: s-�•�3 <br /> BUII..DI�i 1G REVIEW BYs DATE APPROVED: s-�i•�3 � � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: . <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes ,i No SEWER CONNECTION <br /> STATE SURCHARGE Yes_�/ No WATER CONNECTION <br /> INVESTIGATION FEE � Yes No_� PARK FEE <br /> SAC Yes No � - STTEINSPECTION <br /> Number of SAC•Units OTHER (specify) <br /> ZONING CH�CB LIST Zoning District: L2-��3 <br /> Fire Department: � Post Office: School District: • <br /> Lot Area: Sq:ft. 42,�0 3 Acres .q f� ' Width t 2R�E6���P►�. Depth <br /> Survey Submitted: Yes_c� No Date of Survey: 9- �q- 0 2. <br /> Proposed Setbacksc ' ' <br /> Front(L.ake): 15' Right Side: NI A <br /> Rear(Street): S7' Left Side: �Z.� <br /> Adjacent Structures: _ f}�-�,c�+¢a Wedaad: �/� . <br /> Building Height: Def. Hgt. c�.l�. Peal:Hgt. c�.k. <br /> Lot Coverage: 7.o�Jo � <br /> Gradina: Staff Approval Date: s - �� o� By: ��_ Council Approval Date: <br /> Septic: Staff Approval Date: N�� By: <br /> Zoaing File: # 0 2-z8y 1 Resolution: # Resolutioa Date: t e-29-.o Z <br /> Shorelaad District: yEs <br /> Avg. Setback: N�A B1uffSetback: ,�,/,4 L,otCoverage: ��a°'lo <br /> Existing Proposed <br /> Hardcover: 0-75' t�Z �•Z <br /> 75-250' 3n•Q, 33 ' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes X No Date of Council Approval: i o-z8-o z <br /> �R.EI�ZARI�S(in house): t?�so's s�bhre�� <br /> 7 <br />