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CHECR OFF LIST FOR ISSIIANCE OF P$RMITS <br /> FOR OFFICE �SE ONLY <br /> �� <br /> ADDRBS S OR LEGAL: ��`� � `�� � . PID: � �����' ,� '�? �f � �i�G` � <br /> , <br /> DESCRIPTION OF WORR: N�� I�S <br /> ------------------------------------------------------------------------------� <br /> ZONING REVIEW BY: (�� DATE APPROVED: �— ��j — �j b <br /> BIIILDING REVIEW BY: �c,,�p `X/Ywp�- DATE APPROVED: 7 � � -`�2� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes V No <br /> PLAN REVIEW Yes� No 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: L. School District: <br /> r <br /> Lot Area: � , /� �_ Width: � �y� -f-- Depth: � 51D � -�— <br /> Survey Submitted: Yes�No Date of Survey: � �. 3 � 9c� <br /> Proposed Setbacks : � ( <br /> Front _(.�,a�) : �'? Right Side: (p �- <br /> � �, <br /> Rear ( Street ) : �S D -F- Left Side:_ =- <br /> Adjacent Structures : � � Wetiand: � ,�-- <br /> Bui lding Height: Def. Hgt. �,�I � Peak Hgt. �r � �� �r _ <br /> Avg. Setback: � }� Lot Coverage: 3 �o �7 .°� � �O ' �� ^ <br /> Existing Propose <br /> d � <br /> Hardcover: - <br /> 2 0 ' <br /> 5 - fl � _ ��,e.,,,�/��5�'�'�� <br /> s..�. f-� <br /> Ha ariance d: Yes No <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution # : Resolution Date:_ �_ <br /> REMARRS (in house) : �. . ,; : �, - ,, .�. -�' - i• , ,:� ,� ` -a � ; ;�.e k a� `_/�_ <br /> . , � . <br /> � . <br />