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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 7(� C�'O I 1 vt Q� <br /> PID: <br /> DESCRIPTION OF WORK Ad,CJ lO h/u ' S'vn ra�w� c.+� ��s hh.G� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY.• C% DATEAPPR01tED: 2� G <br /> BUILDING RET�IEW BY.• � DATEAPPROVED: 3 •Lz•07 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes :i No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No__� SITE INSPECTION <br /> Nzsmber of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Za�ing Drsb•ict: Lf2— � C.,. <br /> Fire DeparUnent: Post Office: School Disd•ict: <br /> 1 <br /> LotArea: Sq.ft. Acres Width �3� Depth �J� � <br /> Sz�rvey Subnzitted: Yes �/ No Date of Si�rvey: ZOO 3 <br /> Proposed Setbacks: h�l� ' �� <br /> �—�ake): �,� �7gt�rt Side: �_ �S� <br /> �r i S��I�h <br /> �¢zv-(Str•eet): T� �t'Side: � A <br /> Adjacent Structa�res: {�/a YVetland: <br /> 6aulcfing Height: Def Hgt. /��' Peak Hgt. <br /> Lot Coverage: �`3�l '4' �V�QL�? 2� 9 3 �'���"'�' <br /> Grading: StaJf'Approva!Date: �� D G la 13y: Coz�ncil Appr�ova/Date: <br /> Septic: StaffApproval Date: �V ! I�- ay: wG <br /> Zonirrg File: # Resolutiorr: # Resolzrtion Date: <br /> Shareland District: NICi�'D Permit: <br /> .4vg. Setback: B!a ff Setbach: Lo1 Coverage _ <br /> Existing Pr•oposed <br /> Hardcover: 0-7.i' --� <br /> 75-_'SO' � .Qr <br /> �sn-soo� <br /> soo-roon� <br /> Flardcover �ariance Reqw�i�ed: }'es ���o�� Date of Council,�pp��oval: <br /> REMARKS(in lrocrse): <br /> 33 <br />