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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '405 0c.,(0 cAts7 13A1 t <br /> PH): <br /> DESCRIPTION OF WORK: tZ,eru-c.rat,_ VA-t(Z.- <br /> ZONING <br /> (ZZONING REVIEW BY: N(0 DATE APPROVED: <br /> BUILDING REVIEW BY: c�, , k_ DATE APPROVED: B Zi <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t, ' No <br /> PLAN REVIEW Yes No 't- SEWER CONNECTION <br /> STATE SURCHARGE Yes f/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC , es No SITEINSPECTION <br /> Number of SAC Units 1` OTHER (specify) <br /> ZONING CHECK LIST :oning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. •Cres/ Width Dep <br /> 1 <br /> Survey Submitt d:1} Yes No / Date of Survey: <br /> I <br /> Proposed Setb.cks: <br /> Fronr(Lak : Right Side: <br /> Rea (Street : Left Side: <br /> A. acent Strictures: W tland: <br /> Building '-ight: Deft Hgt. 'eak Hgt. <br /> Lot Cove age: <br /> Gradin_ Staff Approval Date: By: / Council Approval Date: <br /> Septic: Staff Approvil Date: UM By: <br /> Zo • g File: # Resolution: # ;Resolution Date: <br /> Sho'eland District: <br /> Avg. Setback: Blu f Setback:; <br /> E sting /I` Proposed <br /> Hardcover: 0-75' <br /> 75-250' 1 <br /> 250-500' <br /> 500-1000' <br /> Hardcover i ce Required: Yes o Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />