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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�pg� ��� 2-oPr�O PID: <br /> DESCRIPTION OF WORK: B Q01&1 �'� L5 64 <br /> --------------------- --------- <br /> ZONING REVIEW BY: DATE APPROVED /Y <br /> BUILDING REVIEW BY: 0 <br /> DATE APPROVED: 9- ""I <br /> --------------------- -------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yen No _ <br /> PLAN REVIEW Yes-- No SEWER CONNECTION <br /> STATE SURCHARGE Yes i,--- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�� PARR FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------ <br /> ZONING CHECK LIST Zoning istr-c+". <br /> Fire Department: Post Offic Sc o 1 District: <br /> Lot Area: 7 Width: Dept <br /> Survey Submitted: Ye No Dat of Survey: <br /> Proposed Setback <br /> Front (Lake : Right ide: <br /> Rear (Stre t) : L ft ide: <br /> Adjacent tructur s : Wetl nd: <br /> Building Heig t: Def . Hgt. P ak Hgt. <br /> Avg. Setback: Lot Co v rage: <br /> Ex sting Prop - sed <br /> Hardcover: -75 ' <br /> 75 250 ' <br /> 25 -500 ' <br /> 50 -1000 ' <br /> Hardcover Variance Req ire Ye N Date of Coun it Approval: <br /> w <br /> Grading: Staff Approva Da e: By: Council Approval Date: <br /> e <br /> Septic: Staff Approval Da e: By= <br /> Zoning ile:# Resol ion Resol tion Date: <br /> REMARK (in house) : <br />