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CHECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> � * FOR OF �E USE ON <br /> ADDRESS OR LEGAL: �D O �/(� �S � <br /> PID: <br /> DESCRII'TION OF WORK: �(.�,v � � <br /> ZOYING REVIEW BY: DATE APPROVED: +y-17-5�8 <br /> BUII..DING REVIEW BY: DATE APPROVED: 4-��- g $ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: . <br /> PERNIIT Yes v� No <br /> pLAN REVIEW Yes � No SE�VF.�t CONNECTTON <br /> STATE SUR�HARG� Yes r/ No WATER CONNECITON <br /> INVESTIGAZTON-FEE Yes No ✓ PARK FEE <br /> SAC Yes ' `No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoni.ng District: RR- t(3 _ <br /> Fire Department: �,A�J 1�.t: Post O�ce: W�y?�4Ty� School District: b 20N 0 <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: 3-3�q� <br /> Proposed Setbacks: <br /> Front (�dee�: . q I.`1 Right Side: 7 pp' � <br /> Rear(9�et): 12`�.( Left Side: 2°to� t <br /> Adjacent Structures: N�1(�k Wetland: b O` +� c�4�wu=-�n�T <br /> Building Height: Def. Hgt. Z 6� Peak Hgt. Z 8� <br /> Lot Coverage: n11 iA <br /> Grading: Staff Approval Date: �{-/7- 5`� By: � Council Approval Date: �/R <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: � . <br /> horeland Dis�-ict: � . <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> • Eusting Proposed <br /> � p, Hazdcover: 0-75' . <br /> 75 250' <br /> 250-500' • <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date af Council Approval: <br /> 1VZARKS(in house): _ <br /> • 26 . <br />