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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��� a nG PID: <br /> DESCRIPTION OF WORK: (�'O11�S71-t�� �+/�^1�� P &�A <br /> ------------------------- <br /> ZONING REVIEW BY:- S------ ---- DATE APPROVED: �_ I z - C-1T - <br /> BUILDING REVIEW BY: L-tDr DATE APPROVED: ` ) 2- c� <br /> -------------------------------------- <br /> ------------------------------------------------------------------------ <br /> FEES <br /> -------------------------FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes 7 No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L F - IC- <br /> Fire Department: (QdllU� Post Office:�IA A44 School District: <br /> Lot Area : Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks : ' <br /> f � <br /> �) � Right Side: <br /> Front : <br /> Rear (S etl: � , + Left Side: ± <br /> Adjacent Structures :-6f 1 Wetland: <br /> Building Height: Def . Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' O ` <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yeses No Date of Council Approval: <br /> Grading: Staff Approval Date:-&-J7,-95r By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File• # 6--.0 Resolution #: -3 g Resolution Date:�'� <br /> REMARKS (in house) : <br />