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f . <br /> , CHECK OFF LIST FOR LSSUAl�iCE OF PERl�II'TS <br /> FOR OFFICE USE ONLY <br /> fiDDRFSS OR LEGAI.: 2�0 5 Su�A2w�o'� s �2 <br /> PID: <br /> DESCRIPTION OF WORK: �=� <br /> ------------- ------- <br /> Z0�1ING REVIEW BY: DATE APPROVED: i o� z�-�S' <br /> BUII.DING REVIE`V BY: DATE APPROVID: i o � �-�s <br /> - --------------------------- <br /> FEES TO BE CHARGED: �iisc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> ST�TE SURCHARGE Yes �" No WATER COI�NECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECI'ION <br /> Number of SAC Units OTHER (specify) Y_�_^ w <br /> ----------------------------- <br /> ZONING CHECK LIST Z g Dis 'ct: Shoreland District : <br /> Fire Department: st fice: School District: <br /> Lot Area: Sq.ft. Acre W ih Depth <br /> Survey Submitted: Yes �_ No Date of Survey: <br /> � <br /> Proposed Setbacks: � � L'� <br /> Front �e}: � 1��� Right Side: `� 5 � <br /> R�r �e�:l�-c�4l� SZ� Left Side: � � � L�`'J <br /> Adjacent Structures: R i"774�e� Wetland: ^/�� <br /> , <br /> Building Height: De . gt. / Pe� �' <br /> Avg. Setback: Bluff Setbac�c: Lot C�verage: <br /> Existing Proposed <br /> Hardcover: -75' �- � <br /> 5-250' y � � <br /> 250-500' � � <br /> 500-1000' ' – <br /> i� � <br /> Hardcover V�riance Requir : Yes % ti'o �Date of Council Approval: <br /> 1 � �� %� � — <br /> Gradin�: �aff APProval Dade: �y: Council Ap�proval Date: <br /> � <br /> � 1, <br /> Sepdc: S/aff Approval Date: , �� By� <br /> / <br /> , R�solution: � '� Resolution D�te: <br /> Zoning ile: # --�— , <br /> ` � , <br /> �lII IlOILSe�: � <br /> ,ti <br />