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�a-�-�.�P l�-�/-�a <br /> CHECR OFF LIST FOR ISSIIANCy OF PERMITS .��'��.t 7 � � (���� <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR I,EG�I, DESC�IPTION: �/ �,4C�'-�°��'�'� /-7/�-L <br /> PID: �'� `_� I�` 23 ��`� ��/� <br /> DESCRIPTION OF WORR: ��� �� ��'I�� <br /> ------------------------ <br /> ---------------------------_---�-�---�------------ <br /> ZONING R$VIEW BY: DATS APPROVED� " � ` Z� <br /> BQILDING REVIEW BY:� V .DATE APPROVED: ( Z 'Z� � (� <br /> PERMIT ISSIISD BY: DATE: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes J No SEWER UNIT $ '- <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION � <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION '- <br /> � <br /> PENALTY Yes No �' PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> OTHER (specify) - <br /> ZONING CHECR LIST Zoning District �� � � <br /> Fire Department: � Post Office• ,- c �- � School District: ��'-D/��___ <br /> Lot Area: v � � ' s � Width: �� ( Depth: G�� � <br /> r <br /> Survey Submitted: Yes No� Date of Survey: �l� ' �`����-�- �' � �` �` E"�"�"~ <br /> `o( �'l'l�2-`T'S 5✓r!=-1.��''1 �,yjCL�'YlF'i7C,N r'�C'�i� �mT (.oV�� <br /> Proposed Setbacks : �� uyp = /u^�/a <br /> � l � �7 ' �z��Z � -�y <br /> Front 4-�a��) : Right Side: )� ,et�. - ZS�-. <br /> t � � � 1 � �'� I"�"� <br /> Rear ���-� 1- Left Side: � �' <br /> �,. +�. � �� = (�,$ �o <br /> Adjacent Structures : ;�:� -�� Wetland: <br /> Existing Proposed '~r� <br /> � <br /> Hardcover: 0-75 ' ` <br /> 75-250 ' ' <br /> Hardcover Variance Required: Yes No�, Date �of Council Approval: <br /> Grading: Staff Approval Date: �0 N � BY:; -- � �ouncil Approval Date: <br /> Septic: Staff Approval Date: �— BY= ' � <br /> Zoning File: # '""r` Resolution # : - Resolut�on Date: "�`�""" <br /> REMARRS (in house) : <br /> r ------... <br />