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CHECK OFF <br /> FLISTFFOOREISSU OCEY OF PERMITS <br /> UNL <br /> ADDRESS OR LEGAL: / c we cf Forn-1 ed , PID:,- 7 -/i/ ,�-3 413 oO/3 <br /> DESCRIPTION OF WORK: Zp..,47)2__ <br /> ZONING REVIEW BY: c90 Com., DATE APPROVED: (,-fib _c/ <br /> BUILDING REVIEW BY: �� DATE APPROVED: Cr - 2.v-`-c <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ' No SEWER CONNECTION <br /> STATE SURCHARGE Yes ' No WATER CONNECTION <br /> INVESTIGATION FEE Yes— No f PARK FEE <br /> SAC Yes No ' SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L & I IA <br /> Fire Department: kV/(4L_ Post Office: /VC_C_ School District: /11/C___ <br /> Lot Area: /U/L Width: Depth: <br /> Survey Submitted: Yes CX, No Date of Survey: 12:22...-W, <br /> --(2^, ( Le. <br /> Proposed Setbacks: <br /> Front -) : .�$ Tt Right Side: 110-L <br /> Rear ( `: 2.--2A ± Left Side: NSA <br /> Adjacent Structures: /¢-'T'T34-Ll-,4t'7'' Wetland: 41/19- <br /> Building Height: Def. Hgt. /1/4 Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Pro••sed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> /VAIII . <br /> Hardcover Variance Required: Yes N� Dat - 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 />