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� ' ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ' . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZY�� S��Y �o � PID: <br /> DESCRIPTION OF WORR: G��<<-c= ��n�'�^`-� A�� G�'�i"�2 <br /> ------------------------�--- <br /> ZONING REVIEW BY: N /4 DATE APPROVED: <br /> BIIILDING REVIEW BY: DATB APPROVED: �'J3-5 5 <br /> -------------------- ----- <br /> FEES TO BE CHARGED• Misc. Fees Calculated By: <br /> PERMIT Yes ✓No <br /> PLAN REVIEW Yes �o � 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 Zoning District: <br /> Fire Department: Post Office: School is rict: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Y s No Da e of Sur ey: <br /> Proposed Setback : <br /> Front (Lak ) : ight Sid : <br /> Rear (Str et) : Left Sid : <br /> Adjacent Structu es : Wetl d: <br /> BuiJ:ding Hei ht: Def Hgt. P ak Hgt. <br /> Avg. Setbac : ot Co� rage: <br /> isti g Prop sed __�. <br /> Hardcover 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardc ver Variance quired: Ye No Date of Counci Approva]. : <br /> Grad 'ng: Staff App al Date: By: Council A provaZ Date: <br /> Sep ic: Staff Appr a� Date: By: <br /> Zon ng Fil.e: # Resol tio # : ResoJ.ution Date: <br /> REMARKS (in house) : <br />