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C�IEC� OFF i,IST FOR ISSUANCE OF PE�I�IITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 29 0 5 Asc� Pa ti� � �-� <br /> PID: <br /> DESCRIPTTON OF WORK: (L ����r�— <br /> ZONI�IG REVIE`V BY: ---- --- ------- DAT'E APPROVED: � -/y-Ob <br /> SLII�DING REVIEtiV BY: DATE APPROVED: 9-i g�v,� <br /> FEES TO BE CHARGED:� Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEtiV � Yes �/ No SEtiVER COiyi�TECTION <br /> STATE SURCHARGE Yes _� No �VATERCONNECTTON <br /> INVESTIGATION FEE Yes No _,,� PARK FEE <br /> SAC Yes Na � SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ------------------------- <br /> ZON.i�i IG CH�CK LIST Zoning Districr. Nv C�-�i4v� -. <br /> Fire Departmenc: Post Office: Sc ool District: � <br /> Loc Area: Sq.ft. Acres id� �ep� <br /> Survey Submitted: Yes No D e of Survey: <br /> Proposed Setbacks: . <br /> Froat(Lake): Riaht Side: <br /> Rear(Streetj: Left Side: <br /> Adjaceot St:uctt!res: bVet and: <br /> Buileling Height: Def. Hgt, Pe • Hgt. <br /> Lot Covera�e: <br /> Gradino: Staff Approv2l Date: B Council Approval Date: ' <br /> Sepcic: 5tafi Approval Dace: �Y� <br /> Zoaing File: � Resolution: �` Resoludon Da:e: <br /> Shorela.r.d District: <br /> Av�. Secback: Bluff Setback: L.o[Covera�e: <br /> Eusti.ea Proposed <br /> Hz�dcover: 0-75' <br /> 75-25Q' <br /> 2�0-500' <br /> 500-1(}C�J' <br /> ����CO��: TI,GL'.r��CP o,yui,e�: �.•e5 �,:� Da�:= eF Co�!ncil App�.ovz: <br /> F.E�L=�RI�S (in house): <br />