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, CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFF<ICE �SE ONLY <br /> ADDR$SS OR LEGAL: 2�{ZV C�LO C���GI� /���PID: <br /> DSSCRIPTION OF WORK: SG2.�� f v�C� O�'-P� EX �S���G �p19/1�6 C�s <br /> --------------------- -- --------------------------------------------------- <br /> ZONING REVIEW BY: � C�� DATS APPROV$D: t Q'' �-�l y <br /> BIIILDING REVIEW BY: CX��-- DATB APPROVED: j C'--'�-" `7 `, <br /> --------------------- -------+------------------------------------------------- <br /> F$SS TO B$ CHARG$D: Misc. Fees Ca�culated By: <br /> PERMIT Yes � NO <br /> PLAN REVIEW Yes ✓' N� 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 /> ------------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zonin District: <br /> Fire Depart ent: Post Office: School District: <br /> Lot Area: Wid h: Depth: <br /> Survey Sub i ted: Yes No Date f Survey: <br /> Proposed S tb cks: <br /> Front (La e) : Righ Side: <br /> Rear (Str t) : Left Side: <br /> Adja ent S ructures: etl.and: <br /> Building eight: Def. Hgt Peak Hgt. <br /> Avg. Setb ck: Lot Coverage: <br /> Existi g roposed <br /> Hardcove : 0-75 ' <br /> 75-250 ' <br /> 50-500' <br /> 5 0-1000 ' <br /> Hardcove Variance R qui ed: �fies N Date of Council Approva�: <br /> Grading: Staff Appro a7. ate: y: Council Approval. Date: <br /> Septic: taff Approva D te: By: <br /> Zoning ile:# Resolut on #: Resolution Date: <br /> RffiKARRS (in house) : <br /> � <br />