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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> . � . � . FOR OFFICE USE ONLY <br /> " . _ . . ,:.._�?` `� ..,. - - . .�_ - ___ ..;_ __� _... __�.____ . - <br /> ,,,: _._ <br /> : . _ -; ., _:,.:... _ <br /> .__.. �� _ <br /> ADDR$SS OR LEGAL: __ .__..'..Cl.�( ��-G�R�1�5'r �i PID. _ � <br /> . . - . _-: , - . _ �,) ,. <br /> DESCRIPTION OF WORR: �F��-A-� 5 c a r� t 2 c�.r c�v A�:+J-5 {--o'' Q'�'I o `�ao�S . <br /> ------------------------------------------------- . <br /> .. : ., :_ <br /> - - - . .__._ . . -- , <br /> Z ONING REVIEW BY: ��/� _.. _ --. . . ...._. _. DATE APPROVED. --� <br /> BIIILDING REVIEW BY: �J - _ DATE APPROVED: S-'S"`��t-`f ' `" <br /> FE$S TO BE CHARGED: � Misc. Fees Ca�culated By: <br /> PERMIT Yes �No <br /> PLAN REVIEW Yes No !� SEWER CONNECTION <br /> STATE SURCHARGE Yes �No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTf�ER (specify) <br /> -------------------------------------------- ----- <br /> ZONING CHECR LIST Zoning Di trict: <br /> Fire Department:) Post Of f ice: Schoo]. D�st ' ct: <br /> Lot Area: � Width: Depth: <br /> Survey Submitt d Yes No Date of S rvey: <br /> Proposed Setba k : <br /> Front (La e) : ;' Right Si e: _ <br /> Rear (Str et : Left Si e: <br /> Adjacent tr ctures : Wetlan�': <br /> Bui].ding Heigh : ef. Hgt. Pe�k Agt• <br /> Avg. Setback: ot Cove�age: <br /> � Existi�� g Propos�d <br /> i <br /> Hardcover: 0- 5 ' , <br /> , <br /> , <br /> 75-2 0 ' �' <br /> r <br /> 250-5 0 ' <br /> 500-1000 ' � <br /> , <br /> i <br /> Hardcover Va iance eq�ired: Yes Np Date of Council pproval: <br /> � 1, <br /> Grading: Sta f Appr v�I Date: ' By: Council. App val Date: <br /> ! i <br /> Septic: Staff Appro �2 Date: BY� <br /> Zoning File # _ Resoluti n/ �: Resolutio Date: <br /> REMARKS (i house) : <br /> �o ��T /�� � 5�-�lz c��i�� U r ��� <br /> ---� <br /> _ - �-�T- �v-e_ e� : <br />