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CHECR OER �IST FOR ISSIIANCE OF PERMITS <br /> rOR OrFICE USE ONLY <br /> P.DDRESS OR LEC,AL: Z7 �0 P�`4'b1145(�lV7"' Il-d! PID: � <br /> DESCRIPTION OF WORR: /4✓,ID/ �� <br /> ---------------------- <br /> --��-------------------- • ` <br /> ZONING RE�TIEW BY: _ DATE APPRO�TSD G 2-� 'Sr 3 <br /> _ __S�� + _ <br /> 3IIII�DING REVIEW BY: DATS APPROVED: � � 2� �� <br /> ------------------- <br /> FEES TO BS CHARGF�D' Misc. Fees Ca1cul.ated By: _ _ <br /> PERMIT Yes f.No � � <br /> PI.AN REVIEW Yes !/� No SEWER CONNECTION <br /> STATE SIIRCHARGE Yes !/ No WATER CONNECTION � <br /> INVESTIGATION FEE Yes No-�� PARR FEE _ <br /> SAC � Yes No ✓ SITE INSPECTION <br /> Number of SAC IInits OTHER (specify) <br /> -------------------------- <br /> ----------------------------g---------_- , Q <br /> ZONING CHECK LIST Zonin District C./1-' !� <br /> Fire Department: MOvwc.Q Post Office: �C.�t�c.. School. District: ��ue5 7`�►�tk,$. ' <br /> Lot Area: �U ����� � �' Depth: <br /> Survey Submitted: Yes �C No Date of Survey: 6-�'/- y 3 <br /> Proposed Setbacks: � 3�� , ( <br /> F�errt (Lake) : /6 s t Right Side: /�� <br /> &��- (Street) : �tl�/� Left Side: �T 7� 'f- � � <br /> Adjacent Structures : �qTT74G1� Wetland: /ul�" <br /> Buil.ding Height: Def. Hgt. C9•K Peak Hgt <br /> Avg. Setback: 7� ��- _ Lot Coverage: � (� <br /> Existing Proposed <br /> fiardcover: 0-75 ' c� � <br /> �s—z5o � z 3-55 Z3.S � <br /> 250-500 ' � � <br /> 500—l000 � N /�- Nl� <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> Grading: Staff Approva ate: By: Co c'I. Approval Date: <br /> Septic: Staff Approva Da e: BY= <br /> Zoning File:� R ol.ution �: Resolu ' on Date: <br /> RFl�iARKS (i.n house) <br />