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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> -kDDRESS ORLEGAL: --l-SO —MN��� PID: <br /> DESCRIP'T'ION OF NVORK: n�-r -rz•�� `'"'�'�`� <br /> ZO\�G REti=Y BY: lj I ✓� DATE APPROVED: I <br /> BL�DIN G REti�NV BY: DATE APPROVED: 2.- 1�-c,e i <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMITN0 <br /> Yes ✓ CONNECTION <br /> PLAN REVIEW yes Nd� No � SEWER <br /> STATE SURCH.�RGE Yes f No — WATER CONi�tECTION I <br /> INVESTIGATION FEE Yes No c,-- PARK FEE <br /> TI <br /> SAC -Yes No ✓ SITE INSPECON I <br /> Number of SAC Units OTHER (specify) <br /> ZONTG CHECK LIST <br /> Zoning District: Shor land District: <br /> Fire Department: _Post O cc: School is 'ct: <br /> Lot Area: Sq.h. Acres idth Depth <br /> Survey Submitted: Yes <br /> No Date of Sury y: <br /> Proposed Setbacks Right Side: <br /> Front (L •e): <br /> Rear (St eet): Left Side: <br /> Adjace Structur s: We and: <br /> Building Heigh : Def. H=atP H-t. <br /> Avg. Setback: B ff Setback: Lot Coverage: <br /> I <br /> xisting opose <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcove Variance Required' es No Dare of Council Approval: <br /> Grading' Staff Approval Dare: v: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Resolution: f Resolution Date: <br /> Zoning File: <br /> RF,tiiARK-S (in house): <br /> 26 <br />