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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> /y D <br /> ADDRESS OR LEGAL: PID: <br /> ,��� �ZC�C,/t� �u'�� /�-�. <br /> DESCRIPTION OF WORK: �� fit/ �C�ZL ��� �✓ <br /> --------------------------n------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: /0 - �/• �i 3 <br /> BUILDING REVIEW BY: DATE APPROVED: ( 6 - y <br /> -----------------------» ------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes Nom^ PARK FEE <br /> SAC Yes No—i,� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: f(Z- la <br /> Fire Department: Lor A C Ar-E Post Office: w z h School District: (DO'GN(7 <br /> Lot Area: 2-(- -3 ALS S Width: Riaz-vc-o►- o Depth: .=/C2cC-,uc-4-,< <br /> Survey Submitted: Yes X No Date of Survey: q-2- 7- 33 <br /> Proposed Setbacks: <br /> I <br /> Front (Lake) : " /SS�4- Right Side: 5 z .Z <br /> Rear (Street) : /6a % Left Side: 301 w <br /> Adjacent Structures : IUTA Wetland: N//4 <br /> Building Height: Def . Hgt. ( 7• Peak Hgt. Z s• S;- <br /> Avg. Setback: 0- k Peet Ai(L,eA-L a,n�pz�r�.nt, Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' C) <br /> 75-250 ' 9.5 <br /> 250-500 ' td•i <br /> 500-1000 ' <br /> Hardcover Variance Required : Yes No C Date of Council Approval: <br /> Grading: Staff Approval Date: 10 •1-t - 53 By:& . Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # /V �6 Resolution # : Resolution Date: <br /> REMARKS (in house) : <br />