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- � CHECR OFF LIST FOR, ISSIIANCE OF P$FtMITS <br /> FOR OFFICE USE ONLY <br /> ,� .� � � <br /> ADDRESS OR LEGAL.: ,�,,�Cf� }��L-��-<2�1 �� ��%� PID: ��-//i"� �; '% �3 :-? Gca�; t� - <br /> . . �_ _ , <br /> DESCRIPTION OF WORR: � �J��ti � �.- , ��-L � � C� ���`�`�� " <br /> ------------------ ,p- -- --------------------------�z'--------------------- <br /> ZONING REVIEW BY: d J� �. DATE APPROVED: 1 C)- "L-� � <br /> BIIILDING REVIEW BY: �.�� C�����^<�._— DATE APPROVED: � � Z'� � <br /> �������������������-�������������������������������������������������������� <br /> FEES TO BE CHARGED- Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes r/ 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 �- �� � I� <br /> Fire Department:�c,��rv� Post Office: �1/�L School District: IU`� _ <br /> Lot Area: % f�C� Width: � �'��c�S Depth: � J/�--���S <br /> Survey Submitted: Yes� No Date of Survey: �' �� ~�� � <br /> Proposed Setbacks: . �/� <br /> �t (Lake) : "'T"j � Right Side. <br /> i <br /> �- (Street) : ��Uc� r t— Left Side: � --� <br /> Ad 'acent Structures : ���C.��%" Wetland: /�' `� <br /> J <br /> Building Height: Def. Hgt. �V,�� Peak Hgt. t���f� <br /> J� Lot Coverage: ����� <br /> Avg. Setback: 0 • � l.P� 2�:� <br /> Existing ���� � Proposed <br /> Hardcov�r: 0-75 ' 7 30(� %. DE, <br /> .�,�• �d °�a <br /> 75-250 ' � � <br /> 250-500 ' <br /> 500-1000 ' �7 <br /> Hardcover Variance Required: Yes� No Date of Council Approval: 8' � �� <br /> Grading: Staff Approval Date: �� By: Council Approval Date: <br /> Septic: Staff Approval Date: �/�� BY� <br /> g r Resolution #: ��?���� Z Resolution Date: � ���-�� <br /> Zonin File:# i�� � <br /> ��KMARgS (in house) : <br />