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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4147-J %ON,4�4 V/L W LN PID <br /> DESCRIPTION OF WORK: GX <br /> --- ----------------------- -------------------------- <br /> ZONING REVIEW BY: & , DATE APPROVED: IF 2-3--iY <br /> BUILDING REVIEW BY: DATE APPROVED: `) ' Z 3-97)( <br /> ------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓No <br /> PLAN REVIEW Yes -fNo 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 CHECK LIST Zoning District CIt-16 <br /> Fire Department: Po 0 c _ School District: <br /> Lot Area: v-z) W'dthOks;h:TV <br /> Survey Submitted: Yes)C No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lak$.) : n/1I4 Right Side: + <br /> Rear (Street) : ! z 0 ` C� Left Side: 50'- <br /> Adjacent Structures: 1-7-77J¢G17"C� Wetland: AlR <br /> Building Height: Def . Hgt. A111 Peak Hgt. 41M <br /> Avg. Setback: Lot Coverage: 04Z <br /> isting Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varia a Requ' red: Yes No Date of ouncil Approval: <br /> Grading: Staff pproval Dat y: Co ncil Approval Date: <br /> Septic: Staff pproval ate. By. <br /> Zoning File: # R solutio R solution Date: <br /> REMARKS (in h use) : <br />