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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> .`. <br /> � � FOR OFFICE USE ONLY Q <br /> ADDRESS OR LEGAL: 3y6 S s t�c��Z�^�-e �2 PID' <br /> DESCRIPTION OF WORR: ►�-t-m�(J Z- - � 1�-'9-�- �N� <br /> ------------------------ ------------------ ------ <br /> ZONING REVIEW BY- DATE APPROVED: � -Zg -5 S <br /> BIIILDING REVIEW BY: � DATE APPROVED: g - 2-ti-� � <br /> -------------------�----------------------------------------------------- <br /> FEES TO BE CHARGED: 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 District: <br /> Fire Department: M Post Office: v� Schoo� District: i✓�c <br /> Lot Area: Width: Dep <br /> Survey Sub ' tted: Yes No � Dat of Survey: <br /> Proposed S acks : � <br /> Front ( ake) : Rig t Side: <br /> � <br /> Rear St �et) : Lef Side: <br /> Adjac nt 9,tructures : W tland: <br /> \ <br /> Building H ight` Def . Hgt. � Peak Hgt. <br /> i <br /> Avg. Setba k: � � Lot overage: <br /> �\ Existin I Pr posed <br /> \ IHardcover- 0-75 ' �� <br /> ;\ <br /> 7 -250 ' \., --------_ <br /> 25 -500 ' �, I <br /> 500 1000 ' � <br /> Hardcover ariance Req ired: Yes o Date of Coun il Approval: <br /> Grading: taff Approval Da e: By: Council Approva� Date: <br /> Septic: S aff Approval D t : By= <br /> Zoning Fi e: # �,��� ��� R soluti n # : �5 � �- Resolu ion Date: � Z z 5 � <br /> REMARRS ( n house) : <br /> � �;��j< � �}r��-C�s - �15��\•�� L-(1c t-1 '? <' y' r�;s - 54- jx��a_ 7 �nr� c�yt� .l'- <br /> � 1� �i/{�' 's ("C C�s �('�l� ' � 'S F1 t t_f L:-i.'� �� � � r'��' l+i�,%.r� �,..�t; <br /> � <br />