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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �; % C 0���,`�Z q / h,,�",l <br /> PID: L �/ ii7 - 3 is b tiz/ <br /> DESCRIPTION OF WORK: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: N/A <br /> BUILDING REVIEW BY: DATE APPROVED: `- 28•cr 6 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes i�-- No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School strict: <br /> Lot Area: S Acres idth Depth <br /> Survey Sub itt d: Yes Date of Surve : <br /> Proposed Se bac : <br /> Fro t (L e): ight Side: <br /> Re r (Stree eft Side: <br /> A acent Stru tures: W tland: <br /> Building H ight: Def. t. P ak Hgt. <br /> Lot Cover ger <br /> Grading: Staff Approval D te: By: Council Approval Date: <br /> Septic: taff Approval Date: By: <br /> Zoning ile: # Reso tion: # Re lution Date: <br /> Shorel d District: <br /> Avg. Setback: Bluf Setback: Lot Coverage: <br /> Exi ing 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 /> REMARKS (in house): <br /> 26 <br />