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i , CHECR OFF LIST FOR ISSIIANCE OF PE�TZMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR I,EGAL: ��g�J /L�S� ��x-- ��1. PID: O� ^�� - v <br /> DESCRIPTION OF WORR: "=N�'E 2��� t'�h�'SH <br /> ------------------------------------------------------------ <br /> ZONING REVIEW BY: /`J �(� DATE APPROVED: <br /> BDII.DING REVIEW BY: �3 �Q�.,..�.r. DATE APPROVED: (,-/7- `f Z <br /> ---------------------�- �------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Cal.culated By: <br /> PERMIT Yes ,� No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No ,� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------- <br /> ZONING CHECR LIST Zoning D' strict: <br /> Fire Department: Post Office Scho 1 District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of urvey: <br /> Proposed Setbac : <br /> Front (Lak ) : Rig t S 'de: <br /> Rear (Str et) : Le t S ' e: <br /> Adjacen Structur s: Wetla d: <br /> Bui7�ding He ' ght: Def. Hgt. Pe Hgt. <br /> Avg. Setba Lot Cove ge: <br /> Ex sting Propos d <br /> Hardcover 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 00-1000 ' <br /> Hardco er Variance Requ red: Yes No Date of Counci Approval: <br /> Gradin : Staff Approval Dat : By: Council A proval. Date: <br /> Septi : Staff Approval. at : BY= <br /> Zoni g File• # esol tion Resoluti n Date: <br /> S (in house) : <br /> 4 <br /> f <br /> � <br />