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CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> " , . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z1�SS 5 H a�y�fl d� � PID: <br /> DESCRIPTION OF WORR: �-7VlAO' -' �Av � � tTG�^� ► �� /Go <br /> o-�`�� G1►�-�- -c��p,�i- -- ------------ <br /> ------------------------------------- - <br /> ZONING REVIEW BY: N l� DATE APPR0�7F•D: <br /> BIIILDING REVIEW BY. DATB APPROVED: I � IO ' �7� - <br /> --------------------- --------- <br /> FEES TO BE CHARGED• Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ' No v" 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 /> r^ire Department: Post Office: School District: <br /> Lot Area: Width: Dept : <br /> Survey Submitt d: Yes No D te of Survey: <br /> Proposed Setb c s: <br /> Front ( k ) : Right Side: <br /> Rear ( S ree ) : Left Side: <br /> Adjace t St uctures: We;�lan : <br /> Building H ight: Def . Hgt. Pea Hgt. <br /> Avg. Setb ck: Lot over ge : <br /> Exist ng P pos d <br /> � <br /> Hardcove : 0-75 ' ` __ <br /> 75-250 ' <br /> �` <br /> 250-500 ' � <br /> � <br /> 500-1000 ' <br /> Hardc ver Varia ce equired: Yes No Date of Coun il Approva� : <br /> Grad 'ng: Staff pp oval. Date: By: Counci]� Approva� Date: <br /> Sep ic: Staff A roval Date: BY� <br /> Zon ng File: � Resolution Resol tion Date: <br /> S (in house) : <br />