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Y � CHECK OFF LIST FOR ISSUAi�TCE OF PER�.I�IIT'S <br /> _ FOR OFFICE USE ONLY . � . <br /> ADI}RESS OR LEGAL: I ��� �?�-S,' P o�.ti � l�o� <br /> PID• <br /> DESCRIPTION OF WORK: o a c t�- ,V-z-u 3 Sre•+s er•l a <br /> . � <br /> ZO�G REVIE�BY: DATE APPROVED: ��-S o -c� <br /> BUILDP�G REYIE�BY: . DATE APPROYID; r U • 3 � � r�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pERMrI' Yes � No :. <br /> pI,AN REVIEW Yes _� No SEWER CO�INECTION <br /> STATE SURCHARGE Yes � No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPEG"TION <br /> Number of SAC�Units OTHER (specify) <br /> ZO��IG CH�CK LIST zoning Dis�icc: N c� C�-l�V� _ . <br /> Fire Deparcment: Post Office: School District: • � � <br /> Lot Area: Sq.ft. Acres � Width D�P� <br /> Surve;Sub�itted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(La.ke): Right Side � <br /> Rear(Street): Left Side• <br /> Adjacent Structures: etland: • <br /> Buildin�Heiaht: Def. H�t. ea.�:Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: � Resolutioa Dace: . <br /> Shoceland District: <br /> Av�. Setback: Blufi cback: _ L,otCovera�e• <br /> E�� Proposed <br /> Hardcover: 0-75' <br /> 75-250' __----- <br /> ?SO-500' _------ <br /> 500-1000' _----- <br /> Hazdcover Variance Required: Yes No Date of Couacil Approval: <br /> ItEI�IARK,S (in house): <br /> 7 <br />