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, �CHEC� OFF �IST FOR ISSUANCE 4F �'ERMITS <br /> � FOR OFFICE USE ONLY� . , <br /> .A.DDRESS ORLEGAL: IZc�o PH«-�-�PS p� <br /> PID: <br /> DESCRIPTIO�4F WORK: I��TCK��+,� 42� w��r L <br /> ZONNG REV7E`V BY: --------fa -------- - J�ATE APPROVED: <br /> $UII�DING REV7E�V ]3Y-_ �_ �--------------DAT'E APPROVED___�__ �b _��.— <br /> FEES TO BE C�-IA.RGED: Misc. Fees Calculated By: <br /> PERMIT Xes ✓ No <br /> PLAN REVIEtiV � Yes �/ No SE�VER CONNECTION <br /> STATE SURCHARGE Xes �/ No tiVATERCONNECTTON <br /> II�IVESTIGATION FEE Yes Na PARK FEE <br /> SAC Yes No STTEINSPECTTON <br /> Number of SAC�Units ^___M-_____ OTHER (specify)__-_-______-r__-_-___^__ <br /> Z ~ cxE.cx LisT Zoning District �vv ��-���� . <br /> o�rc� <br /> Pos[OfFice; School District: • � <br /> Fire Departmeat: � <br /> L,ot Area: Sq.ft. Acres ' Width Depch <br /> Survey Submitted:� Yes No Date oE 5urvey: __ <br /> Proposed Setbacks: • : <br /> Frvat(Lake): Ri�t Side: . <br /> Rear(Street): Laft Side: <br /> Adjaceot Structures: Wet d: <br /> Buil�lin�Hei�t: Def. Hgt. P �`Hg�• <br /> Lot Cvvera�e: <br /> Gradino: Scaff Approva.t Date: By: Council Approval Date: =::� , <br /> Szp�ic: Staf� Approval Date: �Y: <br /> Zoaing File: n Resolutio : � Resolution Date: <br /> . Shorelas:d District: I..,ot Covera�e: <br /> Avg. Setback: B uff Setback: <br /> E. 'stino Proposed <br /> H�dcover: 0-75' <br /> 75-250' <br /> 2�0-SC�' <br /> soa-ioc�� <br /> .i ✓,:_ nF r'C?i,n�i1 A,q�n•'0'vZ: <br /> il��l:�l7Y�: t1��:2.L:C� V�Y�:�:�C. C'� •�l! <br /> F.£�L�R.��S (ir.house): <br />