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. • CHECR OFF -LIST�FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR I,EGAL: Z(I Z �U�r4-�"Z w�o cX_S PID: <br /> DESCRIPTION OF WORR: �=i cti�S (�f- -(�o-4-5-�(���..�.,-�-� -- j=f�.�'4-v���.•. c:� �i�v L�-f <br /> -----------------------(�-------------------- <br /> 4 / ------------------- ------------ <br /> ZONING REVIEW BY: /v DATE APPROVED: <br /> BIIII,DING REVIEW BY: ^�� ��1i��__ DATE APPROVED: t� - ?.`i� � S <br /> ----------------------r --------------------------------------------------------- <br /> FEBS TO BE CHARGED: Misc. Fees CaJ�culated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes r/ 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: � SchooJ. District: <br /> Lot Area: Width: ' Depth: <br /> Survey Submit e�d: Yes No Date of Sur��ey: <br /> j <br /> Proposed Setb cks: <br /> Front ( ak�) : Right Side: <br /> � � <br /> Rear (S�ree�) : Left Sid�: <br /> Adjacer�t St�uctures: Wetland': <br /> Bui�ding Hefi�ght: ', Def. Hgt. Peak Hgt. <br /> Avg. Setba�k: Lot Coverage: <br /> Existing Proposed <br /> HardcoverJ 0-75 ' � j <br /> i � ! <br /> �15-250 ' <br /> 50-500 ' ' <br /> 5 0-1000 ' <br /> � <br /> r <br /> Hardcove�r VarianceiRequired: Yes Nq Date of Council Approval: <br /> Grading: Staff App�ova7. Date: By: Council Approval Date: <br /> Septi c:,� Staf f Approval Date: By: <br /> Zoning Fi�e:# Resoluti�n �#: Reso�ution Date: <br /> REMARKS (in house) : <br />