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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �`-1 rD � G�/.; f r �� ;, � PID: Og -/11 -,23 ; ee_,73 <br /> DESCRIPTION OF WORK: <br /> --�� --------------------------------------------- <br /> DATE APPROVED: �-/�-9/ ------ <br /> ZONING REVIEW BY: <br /> BUILDING REVIEW BY: DATE APPROVED: Z-2(->"`i I <br /> --------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ✓ 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 Demartment:Laja La Post Office: Schcol District: Oro�o <br /> Lot Area:/30, 37246 Width: 200 Depth: <br /> Survey Submitted: Yes No Date of Survey: _ <br /> Proposed Setbacks : ► <br /> Front (fie ) : sok 76r Right Side : FaJ- 7 <br /> Rear ( Sit) : ,, 77 Left Side: es' 78 <br /> Adjacent Structures : Wetland: _ 100'<' <br /> Building Height: Def. Hgt. a� � Peak H gt. 02'71 <br /> Avg. Setback: Lot Coverage: /02 <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No_ , Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File:4 Resolution Resolution Date:_ <br /> REMARKS (in house) : <br />