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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY. A f . <br /> ADDRESS OR LEGAL: (--(0L(0 ucA r b Prue /v <br /> PID: r. <br /> (- <br /> DESCRIPTION OF WORK: i v1 l5� br'4-SvVike, t <br /> W BY: ---- j4Q4- pg .61- DATE APPROVED: '1j /C7 <br /> ZONING DATE APPROVED: t I O- v�. <br /> BUILD]NG REVIEW BY: .1 .. t.._.... - <br /> -- r-___-- -- -- , <br /> FEES TO BE CHARGED: Misc. Fees Calculated By:PERNvLIT Yes V. No <br /> SEWER CONNECTION <br /> PLAN REVIEW ' . Yes No <br /> STATE SURCHARGE Yes ././ No <br /> ✓ ARK FEE <br /> SAC Yes WATER CONNECTION <br /> INVESTIGATION FEE Yes No SITEINSPECTION <br /> Number of SAC'Units <br /> OTHER (specify) <br /> ZON LNG CHECK LIST Zoaing District: v _ .e <br /> • <br /> Fire Department: <br /> Post Office: School District: <br /> Lot Area: Sq.ft. <br /> Acres • Width Depth <br /> .ate of Survey: <br /> Survey Submitted: Yes No • <br /> Proposed Setbacks': • <br /> Right Side: <br /> Front(Lake): <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wett d: <br /> Building Height: Def. Hgt, Peak 'gt. <br /> Lot Coverage: <br /> Council Approval Date: ' <br /> Grading: Staff Approval Date: g y: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: RR= olution Date: <br /> Shereland District: Lot Coverage:Avg. Setback: Eiuff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-10 `0' <br /> ,ice =e' u'.re,_. Yes . <br /> P. IXRRS (M.hoase): <br />