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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> (.. S i-L9t akf elPID: <br /> -I�� 0C-10 ,v`� <br /> DESCRIPTION OF WORK: W WW 0e1- <br /> -------------------------------------- <br /> --------------------- <br /> ----------------- <br /> ZONING REVIEW BY: /✓/4- DATE APPROVED: MA <br /> BUILDING REVIEW BY: DATE APPROVED: /21-a 2 / <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes // No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No--Z%--- SITE INSPECTION <br /> Number of SAC Units OTHER ( specify) <br /> ZONING CHECK LIST Z.ning District: <br /> Pos Off ce: School District: <br /> Fire Department: <br /> Lot Area Widtc : Depth: <br /> Survey Sub itted: Yes No Da e of Sur ey <br /> Proposed Se sacks : <br /> Front ( take ) : Ri•ht Side. <br /> Rear ( St •eet) : Left Side: <br /> Adjacent structures : Wetla d: <br /> Building Height. Def . Hg . Peak Hgt. <br /> Avg. Set•ack: Lot Coverag.• : <br /> Exis , ing Proposed <br /> Hardcover : 0-75 ' <br /> 75-250 ' <br /> ' 50-500 ' <br /> 5 . 0-1000 ' <br /> Hardcover Variance R-qu red: <br /> yes No Date 4f Council Approval : <br /> Grading Staff Appro . 1 Date: By: suncil Approval Date : <br /> Septic: Staff Approva ate : By: <br /> Zoning ile: # Reso tion # : resolution Date: <br /> REMARK (in house) : <br />