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10.^ CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /1 -30 (,v I (tO w Q2 _5-0 PID: <br /> DESCRIPTION OF WORK: Q e cid <br /> ZONING REVIEW BY: eyef rir— DATE APPROVED: r.- 2 :2-- q( <br /> BUILDING REVIEW BY: (,62,,,,,,_ DATE APPROVED: F- 2-2 ---( 1 ( <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes /./rNo <br /> PLAN REVIEW Yes V No SEWER CONNECTION <br /> STATE SURCHARGE Yes //7- No.--- WATER CONNECTION <br /> INVESTIGATION FEE Yes No r7 PARK FEE , <br /> SAC Yes No %/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: k P-IR <br /> Fire Department: e(.- Post Office: "/I-- School District: /v <br /> i <br /> Lot Area: 7 /1S2– sq l Width: /05: ' Depth: 2/6 .G Gf <br /> Survey Submitted: Yes X No Date of Survey: CO e_ f-9 ( <br /> Proposed Setbacks: <br /> Front (Leiee+i 9'D Right Side: 4/g <br /> Rear (Street) : Ai /A- Left Side: LW ) / <br /> Adjacent Structures : 4 j—/ J Wetland: /0l� <br /> Building Height: Def. Hgt. yv(, Peak Hgt. 4/(/ <br /> Avg. Setback: Lot Coverage: <br /> Existing Prop sed <br /> Hardcover: 0-75 ' 1 // j <br /> 75-250 ' <br /> i <br /> 250-500 ' / <br /> 500-1000 ' i <br /> Hardcover Variance Required: Yes No Date 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 />