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CHECK OFF <br /> FOR LIST <br /> FIOR ISSE USE LYP ON <br /> PERMITS <br /> ADDRESS OR LEGAL: PID: �12 ;Z 3 0006 <br /> DESCRIPTION OF WORK: <br /> ------------------------ ---------------------------------------------------- <br /> ZONING REVIEW BY: . V DATE APPROVED: <br /> BUILDING REVIEW BY: . VAA ja DATE APPROVED: Il-IB C{ <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 y 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 1 Zoning District: RR-18 <br /> Fire Department: LOV4 Post Office: School District: <br /> Lot Area: fps Width: nom.. Oq&9 Depth: q90 avegrQ4 <br /> Survey Submitted: Yeses No Date of Survey: (Q� <br /> Proposed Setbacks: <br /> Front (ZwaiC'e--) : f Right Side: 0200 <br /> Rear Left Side: 301 <br /> Adjacent Structures : 0' Wetland: <br /> t <br /> Building Height: Def. Hgt. /7/ Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' 4.55 <br /> 75-250 ' - 411DUU,S <br /> 250-500 ' cACceuol C�%-r✓ <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:# Resolution #: Resolution Date: <br /> REMARKS (in house) : <br />