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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1000 C)G d CRN Sn94_ PID: <br /> DESCRIPTION OF WORK: AO al <br /> ZONING REVIEW BY: ;. 00,„ DATE APPROVED: ?-3U" i`( <br /> I - <br /> BIIILDING REVIEW BY: DATE APPROVED: 3-30- 14 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes 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: /1/1-/6 <br /> Fire Department: LJ-. Post Office: W4-( Z School District: O _4'V <br /> Lot Area: 2.4 4Gile, Width: V Y 3 f f Depth: 386 '± 444 <br /> Survey Submitted: Yes ?( No Date of Survey: 10 -7-0 <br /> Proposed Setbacks: <br /> art (Lake) : / 50 Right Side: CO {' <br /> Rear (Street) : 014 Left Side: A-40- <br /> i <br /> Adjacent Structures: 2-0a' ` - Wetland: (S ± <br /> Building Height: Def. Hgt. N'(A- Peak Hgt. ',1' <br /> Avg. Setback: /J(/1- Lot Coverage: Vic., /'v ` ' <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' (ir. ? f:Y' yew Zou' '5 l ¶Q <br /> 250-500 ' 27. 7t' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No /X Date of Council Approval: <br /> Grading: Staff Approval Date: By: ..uncil Approval Date:____ <br /> Septic: Staff Approval Date: Ail 41Fir <br /> Zoning File:# R- -olu ion Resolution Date: <br /> REMARKS (in house) : <br />