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� CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> ' . FOR OFFICE USE ONLY <br /> ADDRES S OR LEGAL: �0 Z.P� N d S f�c��-t-s 0� PID: <br /> DESCRIPTION OF WORR: ��►�'P�-- - - <br /> -------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: N��' DATE APPROVED: <br /> BIIILDING REVIEW BY: DATE APPROVED: �' �g -5Y <br /> FEES TO BE CHARGED: Misc. Fees Ca].culated By: <br /> PERMIT Yes �No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE YesT� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �- PARK FEE <br /> SAC Yes No r� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------- <br /> ZONING CHECR LIST � Zoning Distri <br /> �'ire Depar ent: Post Off ' ce: chool District: <br /> Lot Area: W�.dth: Dep h: <br /> Survey Sub it ed: Yes o Da e of Surv y: <br /> Proposed S tba ks: <br /> Front (Lak ) : Ri ht Side• <br /> Rear Stre t) : Le t Side: <br /> Adjac nt St uctures : Wetland: <br /> BuiJ.ding H ight: Def. Hg . Peak H . <br /> Avg. Setba k: Lo Coverage: <br /> Exis ing roposed <br /> Hardcover• 0-75 ' <br /> 7 -250 ' <br /> 25 -500 ' <br /> 500 1000 ' <br /> Hardcover ariance Req ir d: Yes No Date of Coun il Approval: <br /> Grading: S aff Approval Da e: By: Council pproval Date: <br /> Septic: St ff Approval t : By� <br /> Zoning Fil : # soluti n # : Resoluti n Date: <br /> REMARKS (in house) : / <br /> �7��c7 �j�p (Jy - �� C,K c..� �!'�-�' t C.�I <br />