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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /A 7 9 61-/it-to (/ Jit- PID: 3S -//,'" 3 _3 ( G d O f <br /> DESCRIPTION OF WORK: `7 jt) / <br /> 6,4,21_,,,w,eic.., <br /> ZONING REVIEW BY: 4. ,lel w..� DATE APPROVED: 6,-1 AgS 3 <br /> BUILDING REVIEW BY: ACe (QA.4......._ DATE APPROVED: C. -u(c i 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes 1 No SEWER CONNECTION <br /> STATE SURCHARGE Yes e/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No4---- PARK FEE <br /> SAC Yes No c/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: QA.-(i <br /> Fire Department: (,pky(lpyte Post Office:u../.4,1z4,174 School District: 6RAn m <br /> Lot Area: :5. ‘ AcA&S Width: a/Lep&-c.4i Depth: i/'./ ec-Li +2. <br /> Survey Submitted: Yes 1./- No Date of Survey: L.-1-t.-13 <br /> Proposed Setbacks: 1 , <br /> Front (Lake) : ((. . 9 Right Side:Q 33 •2 +A <br /> Rear (Street) : 2.295:I Left Side / 2-40.11 <br /> Adjacent Structures: AJ//4- Wetland: (00' t <br /> Building Height: Def. Hgt. 25.6- I Peak Hgt. 32-' <br /> Avg. Setback: AI 1J4 Lot Coverage: <br /> Existing r Proposed <br /> Hardcover: 0-75 ' A <br /> 75-250 ' All" <br /> 250-500 '500-1000 ' AIM <br /> Hardcover Variance Re/.uired: Y s N•- D-te of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: 6 -l S'-f 3 By: S'C,t) <br /> Zoning File:# Resoluti' # : —solution Date: <br /> REMARKS (in house) <br />