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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: W �J �( PID: <br /> DESCRIPTION OF WORK: _ ___------------------------------- <br /> -------------------- <br /> ____ __ ___ <br /> 7-7 <br /> ZONING REVIEW BY: --- ------- ----------- <br /> -DATE APPROVED: ri-Z3-�r `I <br /> BUILDING REVIEW BY: �---- DATE APPROVED: <br /> --------- ------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes L,,- No <br /> PLAN REVIEW Yes f 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 CHECK LIST Zoning District: <br /> Fire Department: Post6ic4 &cho�District: <br /> Lot Area: Width: eP <br /> Survey Submitted: Yeses_ No Date of Survey: S -Z <br /> Proposed Setbacks: i 1,, i °� S <br /> Front (bake) : SS + f , Right Side: <br /> Rear (Stmt) : Left Side: <br /> Adjacent Structure W/Pea <br /> Building Height: Def. H t. Hgt. <br /> Avg. Setback: Lot Co : <br /> xis ing Prop <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-100 ' <br /> Hardcover Var ance Req ired Yes N D to of Council Approval: <br /> Grading: St ff Approva Da e: By: Council pproval Date: <br /> Septic: St ff Approval Da e: y= <br /> Zoning F' e:# Resolution Resol tion Date: <br /> REMARKS (in house) : <br />