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, CHECK Ok�' LIST FOR ISSUANCE Ok' PERltiIITS <br /> ' � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ ( �Zc� �,� �� �.,e.,o . <br /> PID: <br /> DESCRIPTION OF WORK: ,C 5-�-� �,/�I� �.��s <br /> ZOYIiYG REVIE�� BY: � � W DATE APPROVED: /a -(o - �t3 <br /> BUII..DTNG REVIEti'Y BY• � . . DA1E APPROVED: . . <br /> . -----__—_----------------------=- <br /> FEE.S TO BE CHA.RGED: - ��o�� Misc. Fees Calculated By: <br /> PERMIT Yes C�' No ' <br /> PL� ��� Z'eS No SEWF.R CO�tNEC'ITON <br /> STATE SUR`H�,�G� Yes No �A'I�R CO�NECITON <br /> IivVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units � OTHER (specify) <br /> ZONING CHECK LIST zoning Districc: � � c/ �� � M <br /> !� <br /> Fire Departmenr. Post O�ce: School District: � � <br /> Lot Area: Sq.ft. Acres tiVidth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (La.tie): , Ri t Side: ' <br /> Reu(Street): Le Side: <br /> Adjacent S[ructures: tiVetland; <br /> Building Height: Def. Hgt• Peak H�t. <br /> a <br /> Lot Coverage• <br /> Gradin?: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: � gy; • � . <br /> Zoning File: # Resolutio : # Resolution Date: � <br /> St�oreland Dis�ict: � � <br /> Avg. Setback: B uff Setback: Lot Coverage: � <br /> � ' E ' ting Proposed <br /> Hardcover: 0-75' <br /> 75-250' . � • <br /> 250-SQO' . . <br /> 500-1OQ0' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> . � <br /> RE1�ZA.RKS ('Ln house): � <br /> z � _ . - . <br /> : �fi ` 26 <br /> . ���.. . . <br />