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- CHECR OFF LIST FOR ISSIIANCE OF PERMITS '3_!! + � <br /> ` FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �.�t�7i �� )���Iw �Q�I Ij� PID: �" I I���.� / ' ��t <br /> D$SCRIPTION OF WORR: � Ul,2P..��S � -- <br /> --------------------------------------------- <br /> ZONING REVIEW BY: �V �� DATE APPROVED: � <br /> BIIILDING REVIEW BY: v�r— DATE APPROVED: 3 "�� - � � <br /> ------------------- --- <br /> FEES TO BE CHARGED: Misc. Fees Calculated 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 Zon ng District: <br /> Fire Departm n : Post Offic : Sc ool District: <br /> Lot Area: Width: � Depth: <br /> Survey Submi te \ : Yes Nq Dat� of Survey: <br /> j ; '; <br /> Proposed Set acks �� <br /> Front ( ake) : Rig�t Side:� � <br /> Rear (S reet) : <br /> Le�t Side: � �- <br /> :� <br /> Adjacen Structu es: Wetland: <br /> i <br /> Building Hei ht: Def. g . 1 Peak Hgt. ' <br /> Avg. Setbac : � Lo Coverage: <br /> , Exis ing roposed , <br /> � <br /> Hardcover: 0-75 ' "�.�7- <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approva�: <br /> Grading: Staff Approval Date: By: Council ApprovaJ. Date: <br /> Septic: Staff Approval. Date: BY= <br /> Zoning File:# ResoJ.ution #: Resolution Date: <br /> REMARKS (in house) : L,C�K,AsE%#4.� �il�''�, ,�S c•!'�����-C= - � �� <br /> .� <br />