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' ' ' ` CHECK OFF LIST FOR �ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z I y J �H L�I�.►vV O 2 PID: <br /> D$SCRIPTION OF WORR: � <br /> --------------------- ----- -------------- <br /> ZONING REVIEW BY: DATE APPROVED: �/- ZS-�iS <br /> BIIILDING REVIEW BY: DATE APPROVED: y- Z 5-�7S <br /> ---------------------- ------- <br /> FEES TO BE CHARGED� Misc. Fees Calculated By: <br /> PERMIT Yes ,r/ 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 /> -------------------------- <br /> ----------�2 I�--- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: LL- Post Office: C.L- School. District: c�2�allo <br /> Lot Area: �/o Giy,y-n��c.s Width: (2�����- Depth: ^' <br /> Survey Submitted: Yes_ CZ No Date of Survey: Oc.r z: 1�i 67 <br /> Proposed Setbacks : <br /> Front (L-ztk-e-} : /�/A Right Side: "� c� � f <br /> Rear (�+' ) s I y0� '� Left Side: �/7. 2� <br /> Adjacent Structures: ✓�7 T�qc,F-t-c_=� _ �^7etland: /�//4 <br /> Building Height: Def . Hgt. Peak Hgt. <br /> Avg. Setback: � Lo Coverage: <br /> E ' sting Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' ' <br /> 250-500 ' <br /> i <br /> 500-1000 ' � <br /> , <br /> Hardcover Vari nce Req ired Yes No Date of Co ncil Approva�: <br /> Grading: Sta f Approva Da e: By: Counc' 1 Approval. Date: <br /> Septic: Sta f Approval Da e: BY= <br /> Zoning Fil :# Resol ion � : Res lution Date: <br /> REIKARKS ( n house) : <br /> I <br />