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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ►2� � (�,iZ��2 5 T <br /> PID: <br /> DESCRIPTION OF WORK: �J c=�-f�1�P C9i42aCo�.s <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: 'Z -�3- 9� <br /> BUILDING REVIEW BY: DATE APPROVED: �- 2 3 - g� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �' No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SUR:HARG� Yes c/ No WATER CONNECTION <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: /1 R-I(3 <br /> Fire Department: (�On� C,a�c,2 Post Office: � School District: (�No�vo <br /> Lot Area: Sq.ft. ����� Acres - 2-`'� Width '7 S Depth 1�-(U <br /> Survey Submitted: Yes o( No Date of Survey: Z-Z�-5 b <br /> Proposed Setbacks: <br /> Front (L-�cc}: I(� � �- Right Side: Z � <br /> Rear (�eet): 1 0 � Left Side: S S� <br /> Adjacent Structures: y�� 1 Wetland: eV(A <br /> Building Height: Def. Hgt. � • <<- Peak Hgt. <br /> Lot Coverage: �.�6°7� <br /> Grading: Staff Approval Date: i✓�/-� By: Council Approval Date: <br /> Septic: Staff Approval Date: /�/iA- By: <br /> Zoning File: # 2-� `'� ( Resolution: ' ,�� Resolution Date: G -2�f- 9� <br /> horeland Dist:ict: <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): <br /> � 26 <br />