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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2990 QLQ (3EP�C-1+ RXAQ PID: <br /> DESCRIPTION OF WORK: <br /> ------------------------nn--� ------------------------------------------- <br /> ZONING REVIEW BY: � 1. — DATE APPROVED: ( ( ' z,-0 -9 ?- <br /> BUILDING <br /> BUILDING REVIEW BY: DATE APPROVED: zo _ 12-- <br /> -------------- <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yeses- No SEWER CONNECTION <br /> STATE SURCHARGE Yes --� 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 /> ZONING CHECK LIST Zoning District LA-113 <br /> Fire Department: (V1&-wt4 Post Office: /WA!4-zA779School District: <br /> Lot Area: ioZ ya0s .:• z•3s,4cas-tWidth: 230 ' ± IqU--r- Depth: y0U `t /4v-f <br /> Survey Submitted: Yes pC No Date of Survey: kcUised /0 <br /> � L <br /> Proposed Setbacks: - /? /3 = GARA� <br /> pr- r (Lake) :2-00'-' 1,100 N A Right Side: y N1i9 R� o�rr�e=x,sr�•v <br /> Rear (Street) : 10: 1�s5+ 165 Left Side: 15�� °�� ���} L <br /> Adjacent Structures: Wetland. /vId <br /> Building Height: Def. Hgt. 0.1- Peak Hgt. <br /> Avg. Setback: O Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' O <br /> 75-250 ' (Y-) <br /> 250-500 ' 1 2- <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No__,4 Date of Council Approval: <br /> Grading: Staff Approval Date: Ajt4 By: Council Approval Date: <br /> Septic: Staff Approval Date: i'� By: <br /> Zoning File:# Re so tion Resolution Date: <br /> REMARKS (in house) : <br />