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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �L�� 't" { '"` PID: =' <br /> DESCRIPTION OF WORK: ZAl re72'v2 <br /> ---------------------------------------------------------------- <br /> ZONING REVIEW BY: IVlA DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: X0 . 2-7-C7y <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 ,,�No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No7 SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------- <br /> ZONING CHECK LIST Zon' ng District: <br /> Fire Departme Post Offic S h of District: <br /> Lot Area: 7 Width: Dep h: <br /> Survey Subm' ted: Yes No Date of Survey: <br /> Proposed Se backs <br /> Front Lake) : Righ Side: <br /> Rear (Street) : Lef Side: <br /> --7 <br /> Adjac nt Struc ures: Wetl nd: <br /> Building H ight: D f. Hgt. P ak Hgt. <br /> Avg. Setba k: Lot Cove age: <br /> Existing Propo ed <br /> Hardcover: 0-75 ' <br /> 5-250 ' <br /> 2 0-500 ' <br /> 500-1000 ' <br /> Hardcove Variance Re uired: Yes No Date of Council App val: <br /> Grading: Staff Approva Da e: y: Council Approva Date: <br /> Septic: Staff Approval D e: By: <br /> Zoning ile:# Resoluti n #: Resolution Date: <br /> REMARKS (in house) : <br />