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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: x`60 (")R.Ovi0 CLQ-C-l414R.O PID: <br /> DESCRIPTION OF WORK: (4& ITIO/) <br /> ZONING REVIEW BY: al A, ( DATE APPROVED: 6-Z` 12 <br /> BUILDING REVIEW BY: ia. `. DATE APPROVED: 6-2— <br /> FEES <br /> `2-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: (ZQ-1(3 <br /> Fire Department: Los L4 e Post Office: for, 6140a; School District: y✓/L <br /> Lot Area:8f'2C/ Z 11K4M S Width: lAti Depth: S OO <br /> Survey Submitted: Yes pc No Date of Survey: 5.-24:77 <br /> Proposed Setbacks: <br /> Front (Lake-) : c=70(+ Right Side: 3g <br /> Rear ( e' ) : 30DIt Left Side: /(///T <br /> Adjacent Structures : ArTAc.//e'Q Wetland: /V/dl <br /> Building Height: Def . Hgt. f) .k. Peak Hgt. <br /> Avg. Setback: Al f�- Lot Coverage: Al441 <br /> Existing Proposed <br /> Hardcover: 0-75 ' 4 <br /> 75-250 ' AIII <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance required Yes No Date 6f Coun it Approval: <br /> Grading: Staff Aprroval Da 'e: B; : Counci Approval Date: <br /> Septic: Staff AF .roval Dat- : By: <br /> Zoning File:# •eso tion # Resolution Date: <br /> REMARKS (in souse) : <br />