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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (&s- O R-O N O C../4N PID: <br /> DESCRIPTION OF WORK: (2 W\0 0 L L <br /> ZONING REVIEW BY: I DATE APPROVED: N� <br /> 6A <br /> BUILDING REVIEW BY: 1174 0,,_ DATE APPROVED: s--I z -c7 S` <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes L--- 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 /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: Scho• District: <br /> Lot Area: Width: Depth <br /> Survey Submitted: ,es No Dat- of Survey: <br /> Proposed Setback- : <br /> Front (Lake) : R' ght Side: <br /> Rear (Stre -t) : eft Side: <br /> Adjacent '.truct res: Wet and: <br /> Building Heig t: Def . Hgt. . eak Hgt. <br /> Avg. Setback: Lot C.verage: <br /> 0 ist'ng Pr. .osed <br /> Hardcover: 0 75 ' <br /> 75 250 ' <br /> 250-500 ' <br /> 50 '-1000 ' <br /> Hardcover Variance Re. ired: Yes No Date of Counsil Approval: <br /> Grading: Staff Approv=i Date. By: Council 'pproval Date: <br /> Septic: '•taf f Approva' Date: By: <br /> Zoning F: le:# Resolution #: Resolution Date: <br /> REMARKS (in house) : <br />