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' • CHECR OFF LIST F'OR ISSIIANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADD�tESS OR LEGAL: �'�,�l� k�L��., � �'= PID: <br /> DESCRIPTION OF WORR: - ' �P(.w, - v ��=-'`�i <br />--------------------(-�---�---------------- <br /> ZONING REVIEW BY: ��" DATE APPROVED: �7-f`-1 -`12 <br /> BIIII,DING RL�VIEW BY: � ���`u^-- DATE APPROVED: � -I`f -`� Z <br />----------------------�- ------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes .�'� ^No <br /> PLAN REVIEW Yes ,,�"r No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,�� No�;- WATER CONNECTION <br /> INVESTIGATION FEE Yes No L' PARK FEE <br /> SAC Yes NoT,-, SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --�- � <br /> ------------------------------------ g : <br /> ZONING CHECR I�IST Zonin District / � I l� <br /> Fire Department: wlauni0 Post Office: IJ % School. District: �"�'��'- <br /> Lot Area: ��� zzi�`1�!�+c�� Width: / 3� � Depth: IGl.b�l A✓'� <br /> Survey Submitted: Yes� No Date of Survey: 6 -16 `� 2- <br /> Proposed Setbacks: , <br /> Front (-�l�e) : �I/ �A Right Side: yf� <br /> Rear (��e-et) : �{6' Left Side: �, Z ' <br /> Adjacent Structures: �i���GHc:� Wetland: � �A <br /> Buil.ding Height: Def . Hgt. i✓�A Peak Hgt. �V'�/a <br /> Avg. Setback: �!�i� Lot Coverage: . /o `���o <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' ��� � �'���' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval. Date: �U �/� By: Council Approval Date: <br /> Septic: Staff Approv3l Date: i�� /� � BY� <br /> Zoning File• # Re��lution # : /�'- Resolution Date: <br /> RRM�ARKS (in house) : . <br /> i <br /> � <br />