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• C'AFCX OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: L/ZS OGO C 'Sm(. BA(( 24.9 PID <br /> DESCRIPTION OF WORK: I1,c1h.o 0e[. 4OD/n0/`/I Jeit.d< <br /> ZONING REVIEW BY: DATE APPROVED: 5-- 2,41 - 1, 7;' <br /> BUILDING REVIEW BY: C DATE APPROVED: S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/' No <br /> PLAN REVIEW Yes fr No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No v SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /z2-,e <br /> Fire Department:C S (4I6 Post Office: C0 611 School District: 024)No <br /> Lot Area: Alk, Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> - ot-i <br /> Proposed Setbacks: <br /> Front (Lake) : q00 ".t Right Side: 0` . 1Z2 <br /> Rear (S =et) : /��'/r Left Side: C/ /V/i9 <br /> Adjacent Structures: #14 Wetland: A444 <br /> ,uilding Height: Def. Hgt. ©.t ' Peak Hgt <br /> Avg. Setback: /v (4Lot Coverage: A/ <br /> I <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' 1 <br /> 500-1000 ' 1111 <br /> Hardcover Variance - -quir:d: Yes No Date •f Counc 1 Approval: <br /> Grading: Staff App 'oval D-te: By: Council •pproval Date: <br /> Septic: Staff App oval Date: By: <br /> Zoning File:# Reso ution # Resol tion Date: <br /> REMARKS (in ho•se) : <br />