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' ' ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�c'� C(�S� �� PID: <br /> DESCRIPTION OF WORR: l�.C=w�n+D E�- <br /> --------------------------------------------------- <br /> ZONING RLVIEW BY: N �I'� DATE APPROVED: <br /> BIIILDING REVIEW BY: DAT$ APPROVED: 2-�-rj y <br /> ---------------------- <br /> FEES TO BE CHARGF.D: Misc. Fees Calculated By: <br /> PERMIT Yes f 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 /> -------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Depar ent- P st Office: Schoo District: <br /> Lot Area: Wid h: Depth: <br /> Survey Sub it ed: Yes No Date of Survey: ' <br /> Proposed S tba ks: � <br /> Front (Lak ) : Righ Side: <br /> � <br /> Rear Stree ) : Left Side: � � <br /> ` �t <br /> Adjac nt Str ctures: Wetland: <br /> .` <br /> Building H ight: ef. Hgt. Peak Hgt. <br /> ! <br /> Avg. Setba k: I Lot Coverage: <br /> ; <br /> xisting � Proposed ( <br /> � �� <br /> � <br /> Hardcover: ' 0-75 ' <br /> 7�-250 ' � ' <br /> 25Q-500 ' ` � <br /> � <br /> 500-+1000 ' t <br /> � <br /> Hardcover �Fariance Required. Yes� No Date of Council Appro al: <br /> Grading: S�aff Approval Date By: Council Approval. ate: <br /> Septic: St�ff Approval Date: BY=,' I <br /> Zoning Fi��: # Resolution #: Resolution Date: � <br /> REMARKS (in house) : <br />