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_ CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFI`CE USE ONLY <br /> ADDRESS OR LEGAL: �`'1 �I� .-;-� s� /,�� � PID: � �� �/l j' - ,'' <br /> D$SGRIPTION OF WORK: : , f•' <br /> ----------O�'Z. - <br /> -------------------- - ----- --------------- <br /> ZONING REVIEW BY:����^'��- DA� �PROVED: � `► 5 <br /> BIIILDING REVIEW BY: CJ DATE APPROVED: l � - Z- SS <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 Zoning District: <br /> Fire Depart nt: P st Offic : hool District: <br /> Lot Area : Wid h: De t <br /> Survey Subm' t ed: Yes No Dat of Survey: <br /> Proposed S tba ks: <br /> Front (La ) : Ri t Side: <br /> Rear Stre t) : Le t Side: <br /> i <br /> Adjac nt St uctures: W tland: <br /> Bui].ding H ight: Def . Hgt ; Peak Hgt. <br /> Avg. Setba k: <br /> � Lot overage: <br /> Existi g P oposed <br /> i <br /> Hardcover:� 0-75 ' �/�— <br /> i � <br /> '�5-250 ' � � <br /> i , <br /> 2�0-500 ' <br /> � <br /> 50p-1000 ' <br /> Hardcove�IVariance Requ' r d: es / No Date of Cou cil Approval: <br /> , i � <br /> Grading: Staff Approval te: ; By: Council,Approval. Date: . <br /> Septic: taff Approval Da e: � BY= <br /> Zoning File: # Res lutio # : Resol.0 ion Date: <br /> RE�KS (in house) : d�101J Grv�c-��-�1-1 Y''�F�► <br />