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� � � CHEC� OFF LIST FOR ISSIIANCE OF PBF2MITS <br /> FOR OFFICE L'S� ONLY <br /> ADDRES S OR LEGAL: �b S ���� �TL/Z- PID: U�CO -I��� �J 7 I �D�,b <br /> DESCRSPTION OF WORR: ��� <br /> ------------------- --------------------------------_-------- �----------- <br /> ZONING REVIEW BY: 6�'`-- DATE APPROVED� 7 � `�1� �/ <br /> BIIII�DING REVIEW BY: � DATE APPROVED: 1 '�`'� I ( <br /> FEES TO BE CHARGSD: Misc. rees Calcuiated By: <br /> PERMIT Yes �No <br /> PI,AN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes !� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No_� PARK FEE <br /> SAC Yes No � SIT� INSP�CTION <br /> Number of S�C Units OTHER (specify) <br /> ZONING C3EC'R LIST -----------------Zoning Dist,ict--L �. ---/ � ------------ <br /> F�re De�artment: Post Of�ice: -"'�'-�_ Sczool. Dis�_ic� <br /> � � <br /> Lot Area: �'�� :��:� % ,� Width: ' -� Depth: <br /> Survey Su�mit�ed: Yes �/ No Date of Surve.T: _� -- Z �? - �t� <br /> ...-t'� <br /> Proposed Setbac?cs : j � <br /> Front (Lake ) : �ignt Side : <br /> �d' <br /> Rear ( St�eet) : Le:t Side: <br /> .� <br /> Ad�acent Structures : U � � Wet?and: <br /> 3uilding Height: Def. Hgt. Peak Egt. <br /> Avg. Setback: --�— Lot Coverage:����. -� �=, ? ��''T �rz ,'`�' � �� <br /> Existing ProDosed '' � <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 5 0 0-I 0 0 0 ' �- � ,�i 1. C,� �'�- � �. / ,,� <br /> � <br /> Hardcover Variance Required: Yes No��,Date of Council Approval: — � <br /> Grading: Staff Approval Date: By: Council Aporoval Date: <br /> Septi c: S taf f Approval Date: BY= { �.`! ,_t��"(�_ �_� <br /> �_-�;a;,`�G;��.� — , <br /> --� <br /> Zoning File: � � (;� 5 (ii Resolution �: Resolution Date: ,� - s;�. - �'l <br /> T <br /> Rffi�SARSS (in house) : <br />