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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l‘O / /(7 t, fi r' t PID: <br /> DESCRIPTION OF WORK: `(cC�) <br /> ZONING REVIEW BY: C _ DATE APPROVED: /0 7 (-1- 3 <br /> BUILDING REVIEW BY: 7143 � DATE APPROVED: /0 - y - S 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes i— No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No L PARK FEE <br /> SAC Yes No 7/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: RA-1( <br /> Fire Department:(f„vr., Post Office:L j (,44c& School District: oa_tallo <br /> Lot Area: 'J, zz) 54 -r2,r Width: ZL1' Depth: 1/7•ZZ-07.2.2j <br /> Survey Submitted: Yes X No Date of Survey: 9 - Z1 -93 <br /> Proposed Setbacks: <br /> Front (Lakt ) : ! SS ' -►- Right Side: LS' (N� <br /> Rear (tet) : ( O' -� Left Side: 1GG.g7 <br /> Adjacent Structures: N(A Wetland: N(f1- <br /> Building Height: Def . Hgt. 2-b•5I P-ak Hgt. 3 S <br /> Avg. Setback: Lot Cov-r- ge: <br /> .xisting Prop• sed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: es Na_- Date of C•uncil Approval : <br /> Grading: Staff Approval Date: ib -4- By: i(3 • Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # i•esolutio #: Resolution Date: <br /> REMARKS (in house) : <br />