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- ' CHECK OFF LIST FOR ISSUA.��TCE OF PER�ti1ITS <br /> _ FOR OFFICE USE ONL,Y � . <br /> ADDRESS OR LEGAL: I�t c� CY��I� P c�c� <br /> PID: <br /> DESCRLPTION OF�ORK: (��O � r1 un) v a2 0 �= ' <br /> ZOrZ\'G REVIE�V BY: DATE APPROV�D: ! �-g-�� <br /> BUILD�YG REY��BY: DATE APPROYID: !� -�-oJ <br /> FEES TO BE CH.4RGED: Niisc. Fees Calcuiated By: <br /> PERMIZ' Yes <br /> No : <br /> pLAN REVIEW Yes ✓ No SEWER C0�INECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO`�G' C�CK LIST Zonin�Dis�icc: fL2-1�A <br /> Fire Department: 3 Post Office: (.r41� School District: C�'Z��o � <br /> Lot Area: Sq.fr. .L� Acres Z�,S� 3 Width l� Z-S A��C. Depch l�-t 5 <br /> Surve;� Sub�itted: Yes x No Date of Survey: �-�`'t-��l <br /> Proposed Se��acks`. <br /> Froat(Lake): Ri�ht Side: <br /> c=x�sriNJc <br /> Rear (Screet): Left Side: <br /> Adjaceat Structures: �Vedand: � <br /> Buildin� Hei�ht: Def. H�t. Pea.4 Hot. <br /> �. �� Lot Covera�e: <br /> �9• �. <br /> (v' Gradin�: Staff Approval Date: gy: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zonin�File: # Resolution: : Resolution Date: <br /> Shoceland District: <br /> Av�. Setback: Blufi Se�back: I.ot Co�•en�e: <br /> E���? Proposed <br /> Hardcover. 0-7�' <br /> 75-250' <br /> ti0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Dac� of Council Approval: <br /> gEtiL�.RKS (in house): <br /> 7 <br />