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1 � 4 <br /> CHECK OFF LIST FOR ISSUANCE OF PER112ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /Z�i 5" Cp/�9�'L i^��o/4 <br /> PID: <br /> DESCRIPTIO:V OF yi�ORK: 'i'�c� ��� � � ���� se•,-�P <br /> ------------------------------------------------------------------------------------------------ <br /> ZONINGREVIEt�BY: �( DATEAPP�OVED: <br /> B UILDING.REVIEW B Y: DATEAPPRO�'ED: �o• z 6•�Y <br /> --------------------------------- <br /> FEES TO BE CHARGED: Nlisc. Fees Calczclatecf By: <br /> PER11�fIT Yes � No <br /> PLAN RET/IEGV Yes No � SEYVER CON�VECTION <br /> STATE SURCHARGE Yes �� tVo tiVATER CONNECTION <br /> I�VVESTIGATION FEE Yes �Vo PARK FEE <br /> S�L C Yes No SITE NSPECTIO�V <br /> Nac»zber of SAC U�zits OTHER (specify) <br /> --------------------------------------------------------------------------------------------- <br /> ZO�YIIYG CHECh'LIST Zartirtg Dish•ict: a <br /> Fire Departrnerrt: Post O�ce: Sch.00l Dish•ict: _.. <br /> Got.4rea: Sq.ft. Acres 6Yidtl� Depth <br /> Sccrvey S«bmitted: Yes No Dc�te af Scuvey: <br /> Pr•oposecf Setbncl;s: <br /> Fract(Lake): ight Side: <br /> Rear(Sh•eet): L t Side: <br /> Actjacent Su•ucteu•es: 6�etla�zcf: <br /> Buildirrg Height: Def. Hgt. Peak Kgt. <br /> Lot Coverc�ge: � <br /> Grading.• Stc�ffApprovcil Date: By: Council Approval Date: <br /> Septic: Staff Approvnl Dc�te: BY� <br /> Zoriiiig File: # Resolution # Resolictiola Date: <br /> Shor•elancf Dish•ict: <br /> Avg. Setback: lc�ff Setbc�ck: Lot Coverage: <br /> �isting Proposecl <br /> Hccrdcover: 0-7�' <br /> 75-�SO' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Var•iarice Reqccired: Yes No Date of Coiirzcil Approval: <br /> REMARKS(in hotcse): <br /> 31 <br />. ' <br />