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� _G. _ . . .. . -... . ._ _. . .. _. ..' _-- "' '. _ . <br /> � �1 <br /> t- CHECK OFF LIST FOR ISSIIANCE OF P�RMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � ���' S'�t,-��'���'r��� .[_.-�'�, PID:��� '� �I i " � �> - j �� " <"�t>ce j <br /> DESCRIPTION OF WORS: � �yc c��c..� <br /> ------------------------------------------------------------------------------- <br /> ZONING RLVIEW BY: /V��- DATE APPROVED: <br /> BIIILDING REVIEW BY: DATE APPROVED: Z- � Z'CJ� <br /> FEES TO BE CHARG$D: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ 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 /> ZONING CHECR LIST Zoning Dist ict: ' <br /> Fire Department: Post Offi e: School istrict: <br /> Lot Area: Width: Depth: <br /> Survey Submitte : Yes No Da e of Su vey: <br /> Proposed Setbac s : <br /> Front (La e) : R ght Si <br /> Rear ( Str et) : eft Si e: <br /> Adjacent ��Structu s : Wetlan : <br /> ,� , <br /> i <br /> �uilding Heig t: Def. gt. Pea � Hgt. j <br /> avg. Setback�� �Lot Cover ge: � <br /> I Exis ing 7 Propos <br /> Hardcover: 0 � 75 ' � � <br /> � �i� � <br /> 75 250 � <br /> 0 <br /> 250 500 ' � � <br /> , <br /> � <br /> a <br /> 500- 000 ' - � <br /> ''ardcover Variance Required: s N Date of Council pproval: - <br /> Y <br /> :�rading: Staff Approval Date: By: Council App oval Date:� a <br /> :�eptic: Staff Approval Date: By: - <br /> Zoning File:� Resolution #: Resolution Date: � <br /> � � _ <br /> REM�fRRS (in honse) : a <br /> � <br /> ,. - - - � <br />