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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FM OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Lf3 d -[1f.�lLL�La l�� PID: <br /> DESCRIPTION OF WORK: ltAih&y 0oe— CV %tov04 <br /> ------------------------------------------------------ <br /> ZONING REVIEW .BY: N 64 DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: /0 -1ef-Cc <br /> ----------------- ------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t�No <br /> PLAN REVIEW Yes No ' SEWER CONNECTION <br /> STATE SURCHARGE Yes_L ' Nom_ 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 District <br /> Fire Department: Post Office: School District: <br /> Lot Area: q Widths Depth: <br /> Survey Submit Yes No Date of S vey: <br /> Proposed Setb c s: <br /> Front (L k ) : Right Sid <br /> Rear (St ee ) : Left Sid <br /> Adjacen St ctures: Wetlan . <br /> Building Hei ht: Def. Hgt. Pe Hgt. <br /> Avg. Setback L t Cove age: <br /> Exist' g Propos d <br /> Hardcover: 0 75 ' <br /> 75 250 ' <br /> 250 500' <br /> 500- 000 ' <br /> Hardcover ariance Re u red: Yes No Date of Council Approval: <br /> Grading: S aff Approva Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File:# Resolution #: Resolution Date: <br /> REMARKS (in house) : <br />