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�,� . � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Zt�� �N�A��Iwoo✓� pID: <br /> DESCRIPTION OF WORR: p O D L � �Ll� <br /> ------------------------------------------------------------------------------ <br /> ZONING REVIEW BY:� DATE APPROVED: /a-`3�-y'2- <br /> BIIILDING REVIEW BY: DAT$ APPROVED: (4-3r-5Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �No � <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes�� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No f PARR FEE <br /> SAC Yes No �� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------_--�-_ C. <br /> ZONING CHECR LIST Zoning District l � � <br /> Fire Department: �� Post Office: w�2/1-� Schoo� District: /��L <br /> Lot Area: �1l�L Width: ��C Depth: /t��C <br /> Survey Submitted: Yes� No Date of Survey: lv-Z-�� �� <br /> Proposed Setbacks: � <br /> Front (�ke) : N�� Right Side: �2 <br /> Rear (=�T) : /�(0� f' Left Side: ZF <br /> Adjacent Structures: �oS' �t _ Wetland: �///� <br /> Building Height: Def . Hgt. N�/� Peak Hgt. /✓�A <br /> Avg. Setback: /�/��/�. Lot Cvverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' �7• ��� <br /> Hardcover Variance Required: Yes No� Date Council Approval: <br /> Grading: Staff Appro aI. Date: By: C ncil Approval. Date: <br /> Septi c: S taf f Appr ]� Date: <br /> Zoning File:# R solutio #: Resolution Date: <br /> RF,MARKS (in ho�se) : <br /> ✓ <br />