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CHECK OFF LIST FOR LSSU��iCE OF PERItiIITS <br /> FOR OFFICE USE ONLY <br /> :�.DDRESS OR LEGAI.: " � � � �� 1� � � - <br /> PID: <br /> DE.SCRIPTION OF WORK: % % �' � � <br /> ZONING REV�W BY: N�/� DATE APPROVED: <br /> BUII�DING REVIEW EY• � DATE APPROVID: �- z�—g.6 <br /> - --------------------------- <br /> FEES TO BE CH�iRGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes ✓ No SEWER CONivECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE 1'eS N0 � � INS ECTTON <br /> SAC Yes No <br /> Number of SAC Units OTHER (specify) <br /> ----------------- <br /> ZONING CHECK LIST Zoning District: Shorel d District : <br /> Fire Department: Post Office: School D s 'ct: <br /> LotArea: Sq.ft. Acres W dth Depth <br /> Survey Submitted: Yes No ate of Survey <br /> Proposed Setbacks: <br /> Front ( ): Ri t Side: <br /> Rear (Str t): ft Side: <br /> Adjacent Structures: Wetl d: <br /> Buildin� Height: Def. Hgt. Peak H�t. <br /> Av�. Setback: Bluff S back: t Coverage: <br /> Eeistin Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover V 'ance Required: Yes No D e of Council Approval: <br /> Grading: St Approval Date: By: Council Approval Date: <br /> Sepdc: Staff pproval Date: B, ' <br /> Zoning File: Resolution: # Resolution Date: <br /> R;F:�VI[ARKS ( <br /> in house): � 1�-� .� �F'o /J�s�s�-ti ��---� <br />