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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> �/ <br /> F&,�2 <br /> OR OFFIC,EE USE ONLY <br /> ADDRESS OR LEGAL: � <br /> a�s& �)Id / rC PID: �2J- <br /> DESCRIPTION OF WORK: IL- Lz . <br /> ---------------------------------------------- <br /> ZONING <br /> REVIEW BY: DATE APPROVED: If 7-3 -5 <br /> BIIILDING REVIEW BY: DATE APPROVED: ( ( • 7- Z- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> No <br /> PLANREVIEWYes—T� No SEWER CONNECTION C110.bo <br /> STATE SURCHARGE Yeses No WATER CONNECTION A"o <br /> INVESTIGATION FEE Yes No f PARK FEE 4ZIld <br /> SAC Yes7' No SITE INSPECTION /V 1A <br /> Number of SAC Units '_ OTHER (specify) <br /> ZONING CHECK LIST Zoning District L4-16 <br /> Fire Department: joyl unryp Post Office: School District: <br /> Lot Area: I(�I `{�� .b� SWidth: Ztib� Depth: <br /> Survey Submitted: Yes No Date of Survey: Oce /7 9 Z <br /> Proposed Setbacks: f <br /> Front (Lake) : Right Side: <br /> r <br /> Rear (Street) : 330`` Left Sider <br /> Adjacent Structures: Py/,+ Wetland: /V/,A <br /> Building Height: Def. Hgt. ( i , <- Peak Hgt. 2-5. S <br /> Avg. Setback: WIA- Lot Coverage: lv`�q <br /> Existing Proposed <br /> 673-3753 -00 _00-� Zzs,�a- <br /> � by`i -3-1 �3- ood -oa <br /> Hardcover: 0-75 <br /> a 3753- <br /> 75-250 ' <br /> 250-500 ' "V S• �° <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No_2�_ Date of Council Approval: <br /> Grading: Staff Approval Dat y: Co cil pproval Date: <br /> Septic: Staff Approval Da e: ,z BY <br /> Zoning File:# Reslu on #: Re-so ution Date: <br /> REMARKS (in house) : <br />