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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S c�a W 1�� PID: t /�" l Z 670"1 <br /> I <br /> n <br /> DESCRIPTION OF WORK: ���J?tel t�z <br /> --------------------------------------- - --------- <br /> ---- --------- <br /> ZONING REVIEW BY: �y --- DATE APPROVED: /U�� <br /> BUILDING REVIEW BY: C DATE APPROVED: 5'-5-`5 <br /> ---------------------CE-------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t,-'No <br /> PLAN REVIEW Yes c/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes L,-,-- No <br /> WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---- ------------------------------------------------------------------------- <br /> ZONING CHECK LIST Z ning District: <br /> Fire Depart ent: Post Office: S ool District: <br /> Lot Area: Width- Dep h• <br /> Survey Sub it ed: Yes No Da a of Survey: <br /> Proposed S tba ks: <br /> Front (La e) : Right Side: <br /> Rear Stre t) : L ft Side: <br /> Adjacent St uctures: We and: <br /> Building H ight: Def . Hgt. eak Hgt. <br /> Avg. Setba k: Lot C erage: <br /> Existin Pro osed <br /> Hardcover- 0-75 ' <br /> 5-250 ' <br /> 50-500 ' <br /> 5 0-1000 ' <br /> Hardcove Variance Requi ed Ye o Date of Council Approval: <br /> Grading: Staff Approval D t By: Council App oval Date: <br /> Septic: taff Approval Dat By: <br /> Zoning File:# Resoluti n Resolution te: <br /> REMARKS (in house) : <br />