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CHECK OFF LIST FOR ISSUANCE OF PEPMTTS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: O 5 1 Ig S PID: d'1- /11 " �5 l C'b ©A <br /> DESCRIPTION nF wo x: �G(h44_, /may/"A_ _ee - ��e--d <br /> ZONING REVIEW BY: I.-Uaml DATE APPROVED: 02--- /4 -Q, _ <br /> BQILDING REVIEW BY: �j.J <br /> DATE APPROVED: -I4 -1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes )1( No <br /> PLAN REVIEW Yes-27- <br /> es No SEWER CONNECTION <br /> STATE SURCHARGE Yeses No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) T� <br /> ZONING CHECK LIST Zoning District: LR - 14- <br /> Fire Department: I-NI {--411e-Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes)( No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) : Right Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structures : Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File:# /7°4 °q Resolution #: 3O7a Resolution Date: a.-/D-q2, <br /> REMARKS (in house) : <br />