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�. CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> '� FOR OFFICE USE ONLY <br /> �� <br /> � � PID: <br /> ADDRESS OR LE�AL: ,�'�' /-'�"��� �`'� � <br /> DESCRIPTION OF WORR: �U� <br /> ---------- --- -------------------- • <br /> ZONING REVIEW BY• DATE APPROVED ��7- Z�(-5S <br /> BIIILDING REVIEW BY: (�/�o� DATE APPROVED: �" �'`�"``5� <br /> --------------- -------- <br /> FEES TO BE CHARGED• Misc. Fees Calculated 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 OTHER (specify) <br /> ---------------------------- <br /> ZONING CHECR LIST Zoni g District: <br /> Fire Department• Pos Off ' ce • Schoo� District: <br /> Lot Area: Wid h: Depth: <br /> Survey Submitted: Yes�_ No Date of Survey: I b -�3'Fl3 <br /> Proposed Setbacks : � ► + ��; <br /> Front (La}Fe) : N�/� Right Side: J J S _ <br /> Rear ( S�treet) : �✓�� <br /> Lef t Side: &� � � N � <br /> Adjacent Structures : I'+- Wetland: ���' <br /> Building Height: Def . Hgt. Peak gt. <br /> Avg. Setback: Lot over e: <br /> Exist' ng P opos <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' t�° � ��� <br /> Hardcover Variance R ired: Yes No Dat of Council Approval. : <br /> Grading: Staff Appr v I. Date: By: C uncil Approval. Date: <br /> Septic: Staff Appr v Date• BY- <br /> Zoning File: # so�ution # ' � Reso�ution Date: <br /> REMARRS (in ho e) : <br />