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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL DESCRIPTION: f ' � yC�---�c�� v� ��C-�(� ���J <br /> PID: .3 � ' ��� '" o�, � '� 3 6 C9 D � <br /> DESGRIPTION OF WORR: �.t'�,�„�•�o <br /> ZONING REVIEW BY:-------��-----------DATE APPROVED:--'7 — ��f Q <br /> BUILDING REVIEW BY: .DATE APPROYED: -7 - � -�fC� <br /> PERMIT ISSUED BY: DATE: <br /> ------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No SEWER UNIT $ ! �' � <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHAFtGE Yes� No WATER CONNECTION <br /> P�.NALTY Yes No � PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> OTHER (specify) <br /> ------------------------------------------------------------- ----------------- <br /> ZONING CHECR LIST Zoning District:_ Q R, — / � <br /> Fire Department: � Post Office: � School District: lX C_ <br /> Lot Area: �- � Width: �� Depth: /� G <br /> Survey Submitted: Yes�o Date of Survey: S -- � — .��l <br /> Proposed Setbaci�'�-Q-�` <br /> Front (�ak� : / d S �-� Right Side: �b0 ��- <br /> ;/ <br /> Rear (Street) : / b� �� Left Side: � 6 0 � <br /> Rdjacent Structures : f � � r Wetland: f`� l�- <br /> Existing Proposed <br /> Hardcover: 0-75 ' � <br /> 75-250 ' � � <br /> Hardcover Variance Required: Yes V No Da et of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Dates BY� ' <br /> Zoning File: #�S 3 7 Resolution #: a� a� Resolution Date: � - �1 — �l� <br /> REMARRS (in house) : <br /> R <br />