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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z-1 iiS U.=�4 OAK.. Ci a.CL./..."-:. <br /> PID: <br /> DESCRIPTION OF WORK: �:c-1c A66 n,.)�, asLk. 6640AG, <br /> ZONING REVIEW BY: M DATE APPROVED: S-'7-C 1 <br /> BUILDING REVIEW BY: �_,�, DATE APPROVED: 5--(2/-r 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No <br /> PLAN REVIEW Yes s/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes _ ,/ No WA 1'ER CONNECTION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> P.M' Fire Department: Post Office: School District: <br /> od, <br /> �6 Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes A No Date of Survey: ern, z (t.t <br /> Proposed Setbacks: , <br /> Front (L-rtke): <br /> -1-1' k Right Side: i(-9 5 - <br /> Rear(Street): (SO' - Left Side: 00'0' .- <br /> Adjacent Structures: 2' ( Wetland: n; 14 <br /> Building Height: Def. Hgt. N I A Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> oning File: # Resolution: # Resolution Date: <br /> IS <br /> horeland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250`500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> • <br /> 26 <br />