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• CH�CR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3� �S (V02�1� 5t�o� '�(Z PID: <br /> D$SCRIPTION OF WORR: 121-�-1'v�.o rJ�Z- <br /> ------------------------ --- <br /> ------------------------------------------------ <br /> ZONING REVIEW BY: �� � DATE APPROVED: ��� <br /> BIIILDING REVIEW BY: G DATE APPROVED: S '`� -�I S <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 `� PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: Post Offic : hool District: <br /> Lot Area: Width: D pt : <br /> i <br /> Survey Submitted: Yes No Dat of Survey� <br /> Propos�d Setbac s: ��, <br /> Front (Lak ) : ' Rig t Side: , <br /> Rear (Stre t) : Lef Side: <br /> Adjacent S ruc ures: Tj�retland: 6t <br /> � � Peak H t 1 <br /> Building Height: De . Hgt. i ' g <br /> i ' <br /> Avg. Setba�k: Lot` Coverage: y� <br /> xisti roposed � <br /> 4 <br /> Hardcover: 0-7 ' <br /> 75-2 0 ' �a <br /> , <br /> y <br /> 250-5 0 ' �a <br /> , <br /> 500-1000 ' ` <br /> Va iance Re ir d: Yes No Date of Counc,il ApprovaJ.: <br /> Hardcover q <br /> Grading: Sta f Approva D te: By: Council A roval Date: <br /> Septic: Staf Approval a e: BY= <br /> Zoning File:�# eso�ut' n # : Resolution Date: <br /> REMARRS (in house) : <br />