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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> • � �i�v"T' 1'�c1 PID: <br /> ADDRESS OR LEGAL: /,3 7� ��� <br /> DESCRIPTION OF WORR: ��� S/���f ��G�QYu't''� � �SG��TLe� 3Z�c7 Z <br /> ------------------ <br /> ------------------------------------------- <br /> ZONING REVIEW BY• -- DATE APPROVED: S-�S-�7 Y <br /> BIIILDING REVIEW BY: DAT$ APPROVED: S' Zs�'�/`'( <br /> --------------------- - <br /> FEES TO BE CHARGED: Misc. Fees Ca�culated By: <br /> PERMIT Yes v No <br /> PLAN REVIEW Yes � 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 /> ------------------------------ <br /> -------------------------- <br /> ZONING CHECR LIST Zoning District: / 7� 7 <br /> Fire Department• Post Office: Schoo� District: <br /> Lot Area: Width: Depth: <br /> �Survey Submitted: Yes No Date of Survey: <br /> C� <br /> Proposed Setback : � <br /> Front (Lak Right Side: <br /> Rear (Str e ) : Left Sid : <br /> Adjacent t uctu es : Wet and: <br /> Building Heig t De . Hg . eak Hg . <br /> , <br /> Avg. Setbac : Lot Co erage: <br /> Exis ing Prop sed <br /> Hardcover: 0-7 ' <br /> 5-25 ' <br /> 250-50 <br /> 00-1000 ' - <br /> Hardcover Variance Reguired: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY= <br />� Zoning File:# / 7 6 � Re solution # :�a� z- Resolution Date: (/ 'L3 -�'Z <br /> REMARKS (in house) : . <br />