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CHECK OFFFORyOFF�CEIUSE ONLYOF PBRMITS <br /> ADDRESS OR LEGAL: I �l SS S N o(Z�L 1 N L. P�= <br /> DESCRIPT2 ON OF WORS: (M/�����'4 �L�� <br /> --------------------p--------------------------- - <br /> ZONING REVIEW BY: �c.� w— DATE APPROVED: Y.-(ft'�7 2 <br /> BIIII,DING REVIEW BY: 1�-- DATE APPROVED: 'Z-1 k-g�-- <br /> -------------------- <br /> FEES TO BE CHA,RG�- Misc. Fees Calculated By: <br /> pEgMIT Yes � No <br /> PLAN REVIEW Yes-� No SEWER CONNECTION <br /> STATE SIIRCHA.RGE Yes�/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �,�o' PARK FEE <br /> SAC Yes �./� No �`' SITE INSPECTION <br /> Number of SAC Uni+s �. OTIiER (specify) <br /> ----------------------------------------------------------- - <br /> ZpgTur rru�- r-g L�gT Zoning District: 6- Z <br /> L School Dist�ict- <br /> Fire De�art:nent: c L4�<c:: Pos� Of�ice: WAyz <br /> Lot Area: .^1 r��n,� 3����� �Width: "Z`3 S'� �}-�,C Depth: ! 30 �� <br /> Survey Supmi�ted: Yes p; No Date of Survey: / -Z� �$"1 <br /> Proposed Setbac:cs . �,+ <br /> F*�� (Lakei : ,S5 � �' Rignt Side : N`� <br /> , � <br /> �r ( Street ) : Sb �=' Le=� Side : 1 3� _ <br /> Adjacent Stiuctures : N�/k Wet?an�: r//!'�l- <br /> � <br /> Building Height: De�. bgt. � 1 6" Peak Hgt. Z'�� 6 � <br /> Avg. Setback: /1J�� Lot Coverage: /v�� <br /> Existing Proposed <br /> Hardcover : 0-75 ' "7 3. ��� �a 3 • `f �� <br /> �s-25o � �3. � g3.� <br /> 250-500 ' <br /> 500-I000 ' <br /> Hardcover Variance Required: Yes� No Date of Council Approval: �o'�ZZ•�iL <br /> Grading: Staff Approval Date: L'!b� `yZ By: �U � Council Approval Date:� <br /> Septic: Staff Anproval Date:�i¢ BY= <br /> Zoning File :r /5�52- Resolution -r: Z�7 � Resolution Date:L0�2Z •�O <br /> REMARKS (in house) : <br />