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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 960 WiNIO v w�.a.-% PID: (' '� - // '7 - ) /1 (c1/ <br /> DESCRIPTION OF WORK: t <br /> ZONING REVIEW BY: /VIA DATE APPROVED: <br /> BUILDING REVIEW BY: JVDl,/ DATE APPROVED: 7-27 - 'Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v/'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 ✓ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Depar ent: Post •ffice: School District: <br /> Lot Area: <br /> \ Width- Depth:the <br /> ! <br /> Survey S •bmi ted: Yes No Date •f Survey: <br /> Proposed Setba ks: <br /> Fr• t (Lae) : Right Side: <br /> Re-r (Stre -t) : Left .ide: <br /> Ad acent St uctures: Wetland <br /> Buildin• Height: Def. Hgt. Peak Hgt. <br /> Avg. Se 'sack: Lot Covera-ee: <br /> Existi g Propose. <br /> Hardcove' : 0-75 ' <br /> 75-250 ' <br /> '50-500 ' <br /> 5 . 0-1000 ' <br /> Hardcove Variance Req ir:d: Yes No Date of Council Approva . : <br /> Grading: Staff Approval D. te: B : Council Approval Da ►e: <br /> Septic: -taff Approval la e: By: <br /> Zoning : le:# Resolution #: Resolution Date: <br /> REMARKS (in house) : <br />