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� � CHECR OFF LIST FOR ISSIIANCE OF P$RMITS _ <br /> FOR OFFICE USE ONLY <br /> ADDRSSS OR LEGAL: a ODOZ S�wc.Q�t,VOf�S �('� _PID: <br /> DESCRIPTION OF WORR: IV P�u1 � S� <br /> -----------------------Q�-------------------------------- --- ------------- <br /> ZONING REVIEW BY: �j _ � DATE APPROVED: S o2 C( <br /> BUILDING REVIEW BY: .v DATE APPROVED: S/oZ81�{� <br /> -------------------------- ------------------------------T—-------------� <br /> FEES TO BE CHARGSD: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No SEWER CONNECTION � <br /> STATE SURCHARGE Yes� No WATER CONNECTION X <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 District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Sezbacks : �� � <br /> Front (�ke-1: � Right Side: <br /> / <br /> Rear �n�'�rr�) ; S� Left Side: L��, 02 <br /> adjacent Structures : �� Wetland: �� <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' � <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY= <br /> Zoning File: # Resolution #: Resolution Date: <br /> RBMARKS (in house) : <br />