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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 12. 90 0'2eNQ o4K5 Qo2 PID: <br /> DESCRIPTION OF WORK: 71A1N1. (-044(.4- <br /> ZONING REVIEW BY: hi 674, DATE APPROVED: S- "/U • 1 <br /> BUILDING REVIEW BY: 0, ` /V DATE APPROVED: - 10 - 4791 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes o c/ 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 Zoni g D st is _ <br /> Fire Department: os <br /> Off S 0. o ' s act: <br /> Lot Area: A • h: D • h: <br /> Survey Submitted: Yes No Date of Survey: <br /> bN FICA% <br /> Proposed Setbacks: <br /> Front (I5«ke) : /t/5 ± Right Side: 0464 e <br /> Rear (Street) : 3O0H Left Side: c101 <br /> Adjacent Structures : /477)4Gff 2 Wetland: �4 <br /> WALL_ <br /> Btr -)rdifg Height: Def. Hgt. f' f g ( Peak Hgt. <br /> Avg. Setback: Lot/Coverage/ <br /> Existing proposed; <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' MI <br /> Hardcover Varia ce Re•uiredt Yes N. Date of Council Approval : <br /> Grading: Staff Approva Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File:# Vesolut' o # : Resolution Date: <br /> REMARKS (in house) : <br />