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� CHECK OFF LIST FOR ISSUAI�iCE OF PERMITS <br /> FOR OFFICE USE ON � <br /> ADDRESS OR LEGAI.: `"` <br /> PID: �7(�;. - � - . 1:� <br /> DESCRIP'I'ION OF WORK: Q�4s�MtT!'% ��iv��F� <br /> Z0�1ING REVIEW BY: N I DATE APPROVID: <br /> BUII.DING REVIEW BY: DATE APPROV�: 3 � �• 4� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> pL� ���,y Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECI�ON <br /> INVESTIGATION FEE Yes No c� PARK FEE <br /> SAC Yes No v SITE INSPEC'I'ION <br /> Number of SAC Units OTHER (specify) <br /> _�___�__--- <br /> -- - --------------------- v <br /> ZONING CHECK LIST Zoninb District: Shorelan istrict : <br /> Fire Departme t: <br /> Post Offi : School Dist�t: <br /> Lot Area: Sq. . Acres idtb epth <br /> Survey Sub tt • Yes o Date of Survey: <br /> , <br /> Proposed Set acks� �� _ _ _ <br /> Fro t (I.aK�e): igh[ Side: <br /> 1 <br /> Re (Street�: ft Side: _ � <br /> r <br /> � ' <br /> Adj ent St ctures: Wetl d: % �` <br /> ;/ l <br /> Building He ght: Def. Hgt. Pe Hgt. � <br /> �� Lo �Covera e: t <br /> Av�. Setba : �Bluff S�tback: � g � <br /> \ Exist' g P�oposed , ___, _ <br /> ....�-_.._--- <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' I � <br /> Hardcover ariance Required: Yes No �_ Date f Council Approval: <br /> Grading: S aff Approval Date: By: Council Approval Date: <br /> Sepuc: S Approval Date: By' <br /> Zoning File: # Re ol ion: # Resolution Date: <br /> REMARKS (in house): <br />