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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3(�Q� ����.0 Ll�� PID: <br /> DESGRIPTION OF WORR: ���P/�l2 1n F'CIL S - <br /> ---------------- <br /> ---------------------------------------------- ��� <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BDILDING REVIEW BY: <br /> DATE APPROVED: � ' z-�' �c7 � <br /> ----=------------------ -------- <br /> FEES TO BE CHARGED� Misc. Fees Calculated By: <br /> PERMIT • Yes ✓/' No <br /> PLAN REVIEW Yes�a SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �ITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------- <br /> ZONING CHECR LIST Zon' ng District: <br /> Fire Departme Pos Offic : hool District: <br /> Lot Area: Widt : Depth: <br /> Survey Submit Yes No Dat of rvey: � <br /> Proposed Setb ck : <br /> Front (L e : Ri t S 'de: <br /> Rear (St eet) : Le t Si e: <br /> Adjacent Str ctures: Wetland: <br /> BuiJ�ding Heig t: ef . Hgt. Peak Hgt. <br /> Avg. Setback: L t Coverage: <br /> Existin Proposed <br /> Hardcover: 0-75 ' <br /> 75-2 0 ' <br /> 250-500 ' <br /> 500-100 ' <br /> Hardcover Vari nce Requ red: Ye N Date of Council Approva]� :_. <br /> Grading: Staff Approval te: By: Council Approval Date: <br /> Septic: Staff pprovaJ� Dat : BY� <br /> Zoning File: # Re lut on # : Resolution Date: <br /> RENSARKS (in ho se) : <br />