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CHECR OFF LIST ,FOR 3SSIIANCE OF PERMITS <br /> '`' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�13S O�Nw�� �t PID: <br /> DESCRIPTION OF WORR: ��'/� ----------------- <br /> ------------------------------------- <br /> ZONING REVIEW BY: !'1���' DATE APPROVED: <br /> BIIILDING REVIEW BY: �G/I�Lw--- DATE APPROVED: S -G-53 <br /> ---------- -------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes No ✓ SEWER CONNECTION <br /> STATE SURCHARGE Yes r/" No WATER CONNECTION <br /> INVESTIGATION FEE Yes No !� PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------- g <br /> ZONING CHECR LIST Zonin Distri t: <br /> Fire Department: <br /> Post Office: School Dist c : <br /> Lot Area: Width: Depth: <br /> Survey Submitte : Yes No Dat of Sur ey: <br /> Proposed Setbac s <br /> Front (La e) • R' ght Side. <br /> Rear (St eet) • eft Side. <br /> Adjacen Stru tures: Wetland: <br /> Bui J.ding He' ght: ef . Hgt. Peak Hgt. <br /> Avg. Setba L t Cover ge: <br /> Existing Propose <br /> Hardcover 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardc ver Varianc Req ired: Yes No <br /> Date of Counci Approva�: <br /> Grad ng: Staff App ov I. Date• By: Council A proval. Date:__ <br /> Sep ic: Staff Appr v 1 Date: By= <br /> Zoning Fil.e:# Resol tion # : Resolut on Date: <br /> REMARKS (in house) : <br />