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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ` ' FOR OFFICE USEONLY <br /> ADDRESS OR LEGAL: (� S 0/c/ icr,/r� .lift £ PID: .. t -//s' 3- 3.2 - d D o 3 <br /> DESCRIPTION OF WORK: ,e4-. 4,1 &v ,f4 41 C e — ifriAlke /r /0 / �-c."...°1 <br /> ZONING REVIEW BY: Jo DATE APPROVED: 1 U -11`9 S <br /> BUILDING REVIEW BY: DATE APPROVED: I0-I1 -`f <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 r SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: (l(Z-l3 <br /> I Fire Department: /(// ) <br /> PosOf <br /> � f cf =: School District: <br /> V <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes X No Date of Survey: S• 2-l-5O <br /> Proposed Setbacks : <br /> Front (Lake) : rJIA Right Side: z3.4 (t-C:>) <br /> Rear (Street) : HO ' '17.- Left Side: MA <br /> Adjacent Structures: u -rnAc( eb/ Wetland: ►ti l6 <br /> Building Height: Def . Hgt. (s) K 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: # 20b7 Resolution # : Resolution Date: (O- r -Rs- <br /> REMARKS (in house) : <br />