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} : _ � � ' '< <'� l��2.7 l�. _ _ <br /> ` ` ` CHECR OFF LIST FOR ISSIIANCE OF PSRMITS ����y� <br /> FOR UFFICE USE ONLY <br /> ,� . . <br /> ADDR$SS OR LEGA�,: <br /> � '",� � e::..Y` r ! ' -`�, ,.'. ' PID: �' � ' � � 3 '�,�:� ��L, C�/�L...3 <br /> DESCRIPTION OF WORR:� ' . :,, . . . ,t . .. �, ,,� ._ , , � � .�:.r , }t : t._ " ° � ' _ % a - <br /> ----------------------,,-,,�-c-.r------------------------------------l-V---------------� <br /> ZONING REVIEW BY: ✓�,�y'�` DATE APPROVED �/� ` � f �' �� <br /> F3DILDING REVIEW BY:d DATE APPROVED: � � " 2 �-q C� <br /> --------------------- - -----------------------------------------��-----------� <br /> FEES TO BE CHARGSD: Misc. Fees Calculated By: �✓''��._ <br /> PERMIT Yes 4 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 Department: � L- Post Office: G- � School District: '�r`��>/'Ja <br /> � <br /> f� �� i <br /> Lot Area: �, L� l�^ �" 1 Width: `��,� � Depth: � �'- <br /> � -� ,__� <br /> Survey Submitted: Yes� No Date of Survey: ```� ' . <br /> Proposed Setbacks : � � _� l � � .� <br /> Front ('�: '`�i .� - Right Side: -- / - <br /> +� � � ,l `` � <br /> Rear (5.�.�at) : Y�' � Left Side: / � � �'� / '1 <br /> ,�. ' <br /> Adjacent Structures : -- ' '' { Wetland: <br /> Building height: Def. Hgt. '— Peak Hgt. ----� <br /> Avg. Setback: --�—�--� Lot Coverage : � .:�, �� ;/, + <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' ' <br /> � � <br /> 500-1000 ' � <br /> Hardcover Variance Reguired: Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date: By: "" ��' Council Approval Date: _ <br /> Septic: Staff Approval Date: - -- By: ` <br /> Zoning File:# �� ;'? �- Resolution #: r' � �r j Resolution Date:�C�- �' ^' �~ <br /> RBMARKS (in house) : j <br /> R <br /> � <br /> f <br />