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� CgECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRES S OR LEGAL: '30 P�< <-''0�`�� PID: <br /> D$SCRIPTION OF WORR----��AO�t. -_w�A�sst:`�'t _ 2SA'n'+---------------------------- <br /> ------------------ <br /> �/(r} � DATE APPROVED: <br /> ZONING REVIEW BY: � � . <br /> � (��� DATS APPROVED: '7. � 3-9 S� - - <br /> BIIILDING REVIEW BY: _ _. .. _ <br /> -------------------- <br /> ---------------- <br /> �S � BE C�RG�: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes �' -No SEWER CONNECTION <br /> � Na �r7ATER CONNECTION <br /> STATE SURCHARGE `�eS Na pp,gK FEE • <br /> INVESTIGATION FEE Yes No SITE INSPECTION <br /> SAC YeS OTHER (specify) <br /> Number of SAC Units ------------------------ <br /> -------- <br /> ------ <br /> ZONING CHECK <br /> LIST -,Zoning Dist ct: <br /> Fire Department: <br /> Post Of ice: School District: _ <br /> Lot Area: <br /> Wid�h: pth: <br /> Survey Submit d: Yes <br /> o Date of urvey: <br /> Proposed Set 5= Right ide: <br /> Front ( a ) : <br /> Rear ( tre t) : Left ide: <br /> Adjac t S ructur s: <br /> Wetla d: <br /> Building <br /> ight• Def. Hgt. Pea Hgt• <br /> Lot Covera e: <br /> Avg. Setb ck: proposed <br /> xisti g <br /> Hardcove : �-� � <br /> 75-25 ' <br /> 250-500 ' <br /> 500-10 0 ' <br /> Hardc ver Var a e Re ired. Yes N° <br /> Dat of Council Approval: <br /> Grad' g: Sta f pprov 7. D te: BY= <br /> Council Approval Date: <br /> Sept c: Staf pprov 1 D t.e: By� <br /> Zon" g <br /> Fil.e:� Resolution # : Resolution Date: <br /> S (in house) : � <br />