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•�- - CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> - FOR OFFICE USE ONLY <br /> AilDR.ESS OR LEGAL: ��� �� ! l' ��r pID= <br /> • <br /> DESCRIPTION OF WORR: �I�l�,S/ � ����� <br /> ------------------------------------- • <br /> ZONING REVIEW BYs N�� DATE APPROVF�D <br /> BIIII�DING RLVIEW BY: DATS APPROVED: � -� � 3 <br /> ------------- ----- <br /> FEES TO BE CHARGED• Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN RE'VIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes --�No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �' PARR FEE <br /> SAC � Yes No � SITE INSPECTION <br /> , <br /> Number of SAC Units OTHER (specify) " <br /> ------------------------------------------ ---------- - --------------------'- <br /> ZONING CHECR LIST Z,oning District: <br /> Fire Departme t• Post Of ice- S hoo� District: <br /> Lot Area: Width: Dep h: <br /> Survey Submi te : Yes No Date of Survey: <br /> Proposed Set ack : <br /> Front ( ake : Right ide: <br /> Rear ( treet : Left S ' de: <br /> Adjace t Stru tures : We land: <br /> Building H ight: ef. Hgt. Peak Hgt. <br /> Avg. Setba k: Lot C verage: <br /> Existin iPro osed <br /> Hardcover: 0-75 ' � <br /> 7 -250 ' <br /> 250-500 ' <br /> 500 1000 ' <br /> Hardcover ariance Req ire : Yes o Date of Council App val.: <br /> Grading: S aff Approval. Da e: By: Council Approval. Date: <br /> Septic: S ff Approval D By' <br /> Zoning Fil :# esoluti n � : Resolution Date: <br /> REMARRS ( ' house) : <br />