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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '?ASO W(L, (-NR <br /> PID: <br /> DESCRIPTION OF WORK: OtEc <br /> ZONING REVIEW BY: . - DATE APPROVED: MO/Ce <br /> BUILDING REVIEW BY.•$ (Q,U � ._ DATE APPROVED: -RD-oce, <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 No v SITE INSPECTION <br /> Number of SAC Units OTHER (spec) <br /> ZONING CHECK LIST Zoning District: n <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes ✓ No Date of Survey: (' • 3- 02 <br /> Proposed Setbacks: <br /> Front(4e): 1 t 3 i'• Right Side: (Al 7.1• <br /> Rear(Street): 133' t Left Side: SY' ]: <br /> Adjacent Structures: VO IA Wetland: --DU 1 r t `'"° � """' e"sc 4 <br /> Building Height: Def Hgt. /V I Or Peak Hgt. — <br /> Lot Coverage: N I A <br /> Grading: Staff Approval Date: IV I✓fir By: Council Approval Date: — <br /> Septic: Staff Approval Date: nl I✓} By: <br /> Zoning File: # — Resolution: # -- Resolution Date: <br /> Shore/and District: N° MCWD Permit: <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): 1.-vo pcAnd c-,-, r`, � 14 \ t <br /> 1 e. ►- rQr v;(Q.. tom• l(o'/�.' h.� a-✓ �oiAein V.Q.Q,�1r12-4-n12- - <br /> w \ <br /> 1S h kCiy e_A ) LOA(cls 416 ero (ec+ CicvSh <br /> 33 <br />