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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> Ge /Qo� <br /> ADDRESS OR LEGAL: _(,M 0443 C5,114- KfXPID <br /> DESCRIPTION OF WORK: (�)��kj (LCs ttt <br /> ZONING REVIEW BY: \• ,, li 1 A. • DATE APPROVED: (2-I' S'3 <br /> 11, <br /> BUILDING REVIEW BY: ` �. l � DATE APPROVED: I 2`1'i3 <br /> FEES TO BE CHARGED: • Misc. Fees Calculated By: <br /> PERMIT Yes <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 /> ZONING CHECK LIST Zoning District: <br /> Fire Department: (045 (.A44,c Post Office: 6:05 C4 ice School District: O,t4"a <br /> Lot Area: 2.4( r cv2 5 Width: 333' Depth: cola r± <br /> Survey Submitted: Yes pc No Date of Survey: 10 -2-0 - 93 <br /> Proposed Setbacks: , <br /> Prorrt- (Lake) : /501 Right Side: //S lL� <br /> mar (Street) : /70 ' Left Side: 3' •. <br /> Adjacent Structures: N14 Wetland: /SOS <br /> Building Height: Def. Hgt. 17 ' Peak Hgt. 2.41.. <br /> Avg. Setback: 1A Lot Coverage: WM <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No pc. Date of Council Approval: <br /> Grading: Staff Approval Date: 11-22.43 By: A. Council Approval Date: <br /> Septic: Staff Approval Date: N1/4 By: <br /> Zoning File:# Resolution # : Resolution Date: <br /> REMARKS (in house) : <br />