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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 115 pc-0 CAtisTIKL 6/4 /ld PID: <br /> DESCRIPTION OF WORK: A 4 A t r►d#J fo b=oo-r (3/44-4- ( s S ein'c <br /> ZONING REVIEW BY: 41/eQ/ _ DATE APPROVED: F5 -2_i -1 .5r <br /> BUILDING REVIEW BY: 4,g(174/...-- DATE APPROVED: 6 -2-5- 1 .S.- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes L..--- 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 SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: / e: School District: <br /> Lot Area: Wi Depth: <br /> Survey Submitted: Yes ,L No Date of Survey: 0,s r—ice <br /> Proposed Setbacks: r% (/" - <br /> Front (Lake) : C pv ' I- Right <br /> Rear (Street) : (Oo I +- Left Si ,1' "- <br /> Adjacent Structures: (0 1- U <br /> Building Height: Def . Hgt. 0 . k.... <br /> Avg. Setback: L'vt Cover• g= : <br /> Existing Propos'-d <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 <br /> Hardcover Vari-nce Req ired Yes No Date o Council Approval: <br /> Grading: Staff Approval Dave: By: C.uncil Approval Date: <br /> Septic: Staff Approval D-t- : II By: <br /> Zoning File: . !'esol t'on #: R:solution Date: <br /> REMARKS (in souse) : <br /> ADaI77ONS Q. (•.ccQ Wlr1ovr CoNot n 0Nbot- us-e_ P.e-A vl i1' <br /> GI C k1 ,4riDWl /V. _R.oN Vito 02s6 <br />