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! ao <br /> M <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> /Z <br /> ADDRESS OR LEGAL: ( u It,4,6L.c;-6, /'✓ i // PID: .n11- /,/,3-- :2. .-5 c. 6-rV <br /> in <br /> DESCRIPTION OF WORK: /t„;-7"7'7e-rC<'- <br /> ZONING REVIEW BY: i\IM DATE APPROVED: <br /> BUILDING REVIEW BY: ;• (LA ,,,,zi,.� DATE APPROVED: 1' 1.-17 - 4'i Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes VNo <br /> PLAN REVIEW Yes_' No SEWER CONNECTION <br /> STATE SURCHARGE Yes f No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: Schou' District: <br /> i <br /> Lot Area: Width: Depth: <br /> Survey Submit ed: Yes No Date o$ Survey: <br /> I <br /> Proposed Setba ks: <br /> i <br /> Front (Lak'a) : Right,`Side: <br /> , <br /> Rear (Street) : /r Left !Side: <br /> Adjacent Sttuctures : / Wetland: <br /> Building Height: k; Def. Hgt. Peak Hgt. <br /> Avg. Setback: i Lot Coverage: <br /> ExistingyPropoised <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: 'es N. Date of Cou'icil Approval: <br /> 1 <br /> Grading: Staff Api val Date: By: Council Approval Date: <br /> Septic: Staff Appr val Date: By: <br /> Zoning File: # Resolution # : Resolution Date: <br /> REMARKS (in house) : <br />