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� CgECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> AI7�)RESS O!2 LEGAL: ZSSS J`�'�` s T PID: _ _ <br /> D�SQtIPTION OF WORR: �=��'�-�� <br /> v��. .3 S-�-s o•.i ��-�u_� <br /> ----------------------- <br /> - ---------- <br /> ------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 3 ` /Y � .�,. <br /> BIIILDING REVIEW BY: DATE APPROVED: � `/�`G `?'� ...__ <br /> ----------------------- -------------------------------------J----------_._-- <br /> FEES TO BE CHARGED' Misc. Fees CaJ.cul.ated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes �/Na 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 Zonin� istrict: <br /> Fire Department: <br /> Post Office• Schoo� Distric�: <br /> Lot Area: Width: Depth: <br /> Survey Submit ed: Yes No Date f Survey: <br /> Proposed Set acks <br /> Front ( ake ) . Ri t Side : <br /> Rear ( tree ) L ft Side: <br /> Adjac nt St uctures : Wetland: - <br /> BuiJ�ding eight: Def . Hgt. Peak Hgt. <br /> Avg. Set ack: ot Coverage: <br /> Existing Proposed <br /> i <br /> Hardcov r: 0-75 <br /> 75-25 ' <br /> / 250-50 ' <br /> � 500-100 " / <br /> � , <br /> Har�dcover Var' a ce Requi�ed : Yes No Date of Council Approval� : ____, <br /> / �` Council� Approval Date : _ <br /> G�- ding: Staf Approval/ Date : _ BY� <br /> r� <br /> S ptic: Staff pprova Date : BY= <br /> oning File• � Resol.ution � • Resol.ution Date :_ __ <br /> RF.MARKS (in house) : . _ <br /> ___------------ <br />