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CHRCK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: - --115' CA..10064r7"--7"y PID <br /> DESCRIPTION OF WORK: pk-81rvu41GZ- <br /> ZONING REVIEW BY: N i A--.__..,.-. .. -. ..._ - DATE 'APPROVE :: - ,. _,;, <br /> BUILDING REVIEW BY: li!DWAtinm"••_ DATE APPROVED: `7--LK"�JFEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes w//'No <br /> /No <br /> PLAN REVIEW Yesf No SEWER CONNECTION <br /> STATE SURCHARGE Yes--17 . <br /> es_ " No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zo ing District: <br /> Fire De! =rtment: Post Offi e: hool District: <br /> Lot Are. : 'dth: D=pt : <br /> Survey .ub itted: Yes No Dat of Survey: <br /> Propos=• Setbacks: <br /> F .ont ( ake) : Ri ht Side: <br /> R=ar (St eet) : Le t Side: <br /> A• jacent tructures We land: <br /> Buildiug Heigh. : Def. Het. 'eak Hgt. <br /> Avg. S -tback: Lot Co erage: <br /> Exis ing Pro.osed <br /> Hardco er: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardco er Variance R.-qui ed: Yes No Date of Council A•proval: <br /> Gradin : Staff Approval ate: :y: Council Appr. al Date: <br /> Septic Staff Approval D te: By: <br /> Zoning ilea# Resolution #: Resolution Da e: <br /> REMARKS (in house) : <br />