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♦ <br /> , CHEC� OFF LIST FOR ISSUAl�CE OF PERtiIITS <br /> FOR OFFICE USE ONLY <br /> �DDRESSORLEG:�L: �-`f7�1 5��4��t '�`'oon �PID: _ <br /> DESCR�'TIO\ OF �i'OR�i: <br /> ----------------------------- <br /> ZOtiT:tiG RE�'�jV B�: DATE APPROVED: �L8-�5 <br /> BL�.DL\G RE«jV BY: DATE APPROVED: g-2..� -4 S <br /> _----- <br /> FEES TO BE CH.�RGED: YeS �� vu <br /> i�iisc. Fees Calculated By: <br /> PER�1IT �. �o SE�,y�g CO,WECTION <br /> PL.��1 RE�ZEti�1 Yes <br /> � �a WATER COi�NECTION <br /> ST�TE SL�RCH�RGE Z'zS �o p�I{ FEE <br /> IVVESTIG:�TIOv FEE Z'zS �o S� �SPECTION <br /> SaC Yzs <br /> OTHER (specify) <br /> tiumber or S:�C LTnics __ �_..___�_�__ <br /> ----------------------------- <br /> Sh reland Dist t : <br /> ZO\�G CHECI� LIST� Zoning � (rict: `� �� <br /> �, ;� ��k� sc a•'� <br /> Fire Deoartmeat: P st Off e: �_ <br /> �cr /, ��� Depth <br /> Lot Area: Sq.n. — <br /> Survey Submicted: Yes � <br /> tiTo Da[e of Survey: �f-L5`S$ <br /> Proposed Secbacks: Ri�ht Side: (l� S _� <br /> Front �Lai:ej: 1 1� � <br /> Re:r (S�reet): /v«- Left Side: �� <br /> ,�djacea� Structures: �!-7-�'�� <br /> WeclaLd: �(f� <br /> Building Heig.ht: Def. ��. <br /> Peak �t. <br /> �vQ. Sezback: <br /> Bluff Setba k: L [ C verage: <br /> Existing ropose <br /> , <br /> Hardcover: �-� � �— <br /> 7�- 50' � <br /> 25 -�00' —� <br /> 50 -1000' ��`,_—� <br /> Hardcover Varianc Required: 'es I No D ce of Council Ap�qroval: �._ <br /> \ <br /> ; <br /> Gradin�: Sraf; �p roval Dace: � Bv: Council �pp�oval Date: <br /> B : � <br /> Sepcir. Staff _��p oval Date: , <br /> Z,��o Fiie: T <br /> Res u�i n: � Resolution Date:`�� <br /> ��,�5 (' house): <br /> 26 <br />