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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR QFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1./v25 �Afrite V ateti PID: 35 '4 /11- a3 -3 `' a <br /> DESCRIPTION OF WORK: tk )A <br /> I. CAL DATE APPROVED: 5 - 2ZONING REVIEW BY: � _ c.� <br /> BUILDING REVIEW BY: •% A . WA DATE APPROVED: s 2 - C1 1 <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 J' PARK FEE <br /> SAC Yes No - SITE INSPECTION <br /> Number of SAC Units OTHER (specify) /� <br /> ZONING CHECK LIST Zoning District: k2-/.[� <br /> Fire Department: -�y Lf Post Office: (,Vi4Y?4`r School District: 020/00 <br /> Lot Area: q. Z Width: Depth: <br /> Survey Submitted: Yes / No Date of Survey: 11- ZY-9`1 <br /> Proposed Setbacks: , <br /> Front (Lake) : / 41(. 2-`1 QJ Right Side: 22,0' ' -'" / <br /> Rear (S -at? : 6 S. 46o 6D Left Side: 4100' } r) <br /> Adjacent Structures: /V/4 Wetland: .8-S. J1 <br /> Building Height: Def . Hgt. Peak Hgt. 3`( <br /> Avg. Setback: N Lot Coverage: N (A4 <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No QC Date of Council Approval: <br /> Grading: Staff Approval Date: 5-26''7Y By:A3 . Council Approval Date: <br /> Septic: Staff Approval Date: By: .S.C.cJ. <br /> Zoning File: # 1 °1 Kr Resolution # : 3/..Zri Resolution Date: s - 23 -9'1 <br /> REMARKS (in house) : <br />