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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ` FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: W^7 tvt-1x w4 eJ l J PID: <br /> DESCRIPTION OF WORK: CAWQ Q .4"Vn+n�a� <br /> ------------------------- -------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 7' g' 07 3 <br /> BUILDING REVIEW BY: 10 N DATE APPROVED: <br /> --------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes P--- 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 Department: Post 0 fic / lcr1 District: <br /> Lot Area: idth: De h:! <br /> Survey Submitted: Yes P< No Date of Survey: <br /> O� 16 1 t.ly <br /> Proposed Setbacks: ' <br /> Front (hie) : ISO + Right Side: <br /> Rear (s r^'') : «.O f`E' Left Side: <br /> �c _ <br /> Adjacent Structures: 2,0c> Wetland: <br /> Building Heig Def. Hgt. Peak Hg <br /> Avg. Setback: Lot' <br /> o Coverage: <br /> Existing 1roposed <br /> Hardcover: 0-75 ' <br /> 75-2511 <br /> 250-50 ' <br /> 500-1000 ' <br /> Hardcover Variance Req fired: s No D e of Counci Approval: <br /> Grading: Staf Approval Date: y: Council A roval Date: <br /> Septic: Staff Approval D te: By <br /> Zoning File:# esolu ion #: Resolution Date: <br /> REMARKS (in h use) : <br />