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�� <br /> � . � , <br /> CHECK OFF LIST FOR ISSUAriCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> AnDRESS OR LEGr�I.: �7�'G L'� � l� <br /> PID: ;� , ', �.3 /� �> / � <br /> DESCRIP'TION OF WORK: u-.�- � <br /> ZONING REVIEW BY: N�i4 DATE APPROVID: <br /> BLTII.DING REVITW BY= DATE APPROVID: �- G- �` <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> pL� ��� Yes � No SEWER CO�INECTION <br /> STATE SURCHARGE Yes J No WA1'ER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) M^_ <br /> -------------------- <br /> ZO�1G CHECK LIST Zoning District: Shor and District : <br /> Fire Department• <br /> Post Offic : School ist 'ct: <br /> L,o[Area: Sq.ft. <br /> Acres Width Depth <br /> Survey Submitt . Yes No Date of Surve : <br /> Proposed Setbac . <br /> Front ( e): Ri t Side: <br /> Rear (S eet): Le Side: <br /> Adjace Structures: Wetl d: <br /> Building Height Def. Hgt. Pe Hgt. <br /> Avg. Setback: Bluff Setb k: Lot Coverage: <br /> 'sting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vari ce Required: Yes o <br /> ate of Council Approval: <br /> Grading: S[aff pproval Date: By• Council Approval Date: <br /> Sepdc: Staff A proval Date: B � <br /> Zoning File: # Resolution: Resolution Date: <br /> RFMARKS ( house): <br />