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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �,U 0 200,10 O R.c‘4,A2 LA nr <br /> PID: <br /> DESCRIPTION OF WORK: 4 on <br /> ZON7LtiG REVIEW BY: DATE APPROVED: 1 �v <br /> BUILDING REVIEW BY: JC 02.44A., DATE APPROVED: ( - <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 WAIERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No Sl IbLNSPECTION <br /> Number of SAC-Units OTHER(specify) <br /> ZONL G CHECK LIST Zoning District: 12P---%(1 <br /> Fire Department: L ,..sV lAtc.-ta Post Office:Letssi Utv_k, School District: L2oa1c:: <br /> Lot Area: Sq.ft. `aS(86.0 .L, Acres i•24', • Width zto` .t Depth ZqC:' t <br /> Survey Submitted: Yes) No Date of Survey: —7-21- Qol <br /> Proposed Setbacks: <br /> Front(Lake.): IS3't Right Side: <br /> Rear (Street): 2 o'S' Left Side: 30 <br /> Adjacent Structures: = ± Wetland: N !/a <br /> Building Height: Def. Hgt. U << Peak Hgt. <br /> • <br /> Lot Coverage: 0 kc <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> oning File: # Resolution: # Resolution Date: <br /> horeland District: <br /> ivy Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> • <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />