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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDItSSS OR I.EGAI,: Z t(o(� S h-tv4�0�j W d o dJ + PID: , <br /> DSSCRIPTION OF WORR: 7'IJ'�-'iR.�o� (��0�0 — <br /> ----------- ------------------------- <br /> --------------------- -- ------------- -- <br /> ZONING REVIEW BY: � DAT$ APPROVED: Nli4' <br /> BIIILDING REVIEW BY: <br /> � DATE APPROVffi�: / L^Z9� -`! <br /> -------------------- ---------- <br /> F$ES TO BE GHARGED: Misc. Fees Ca�culated By: <br /> PERMIT Yes��,! No <br /> PLAN REVI.EW 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 /> ZONING CHECK LIST Zoning District: <br /> Fire Departme t: Pos�t Office: Sch ol. District: <br /> Lot Area: Widt : Dept : <br /> Survey Submi e : Yes No Date f Survey: <br /> Proposed Set ack : � <br /> Front ( ake) : ' Right Side: <br /> Rear (S reet) : Left Side: <br /> I <br /> Adjace t Stru tures: We and: <br /> Buil.ding He ght: D f . Hg . eak Hgt. <br /> Avg. Setbac : Lot C verage: <br /> xist ng Pro osed <br /> Hardcover: 0-75 ' <br /> 7 -250 ' � <br /> r <br /> �' <br /> 25 -500 ' � <br /> 500 � 1000 ' <br /> , <br /> Hardcover ariance Req i ed: Yes o Date of Council pprovaJ.: <br /> Grading: taff Approval Date: By: Council Appr val Date: <br /> Septi:c: S aff Approval. te: BY= <br /> Zoning File:# Resolution #: Resolution Date: <br /> REMARRS (in honse) : <br />