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• � � CHECIi OFF LIST FOR ISSUA��TCE OF PERR1'nTS <br /> . <br /> FOR OFFICE USE Oi1L.Y . ' . <br /> ADDRESS ORLEG.4L: 3�00 S�to R•�.L���= '�R — <br /> PID: <br /> DESCRII'fiI4N OF�ORK: �w�d e�- <br /> , � <br /> ZOrZti G REVIE�'BY: �Q,�,�_ D�TE APPROVED: G-Z� -n� <br /> BUILD1itiTG REV7E�BY: D�Z E APPROYID: �- z�-o � - <br /> FEES 'TO BE CH.4RGED: Niisc. Fees Calcuiated By: <br /> pEgMI'I' Yes � No -� <br /> PLAN REVIEW Yes r/' No SE�F�CONNEG"TION <br /> STATE SURCHARGE Yes �/ No �ATERCOi�INEG"TION <br /> I'�i,'VESTIG�TION FEE Yes No PARK FEE <br /> SAC Yes � No SrTE�tSPECITON <br /> Number of SAC�Units OTHER (specify) <br /> ZOti�G CHECP LIST Zoning Districc: �v c= «�� . <br /> Fire Department: Post Ofnce: Scflool District: • � � <br /> Lot Area: Sq.fr. Acres � Widch Depth <br /> Surve;� SubL::tted: Yes No Date of Survey: <br /> Propased Setoac!cs: <br /> Fronc (La'_ce): Ri�ht Si e: ' <br /> Rear (Scree:): Left Sid : <br /> Adjacent Str�ctures: �Vetlaad: • <br /> Buildin� Hzi�ht: D��. H�t. Peak H�t. <br /> Lot Coverz��: <br /> Gradin�: Stafi App:oval Date: By: Council Approval Date: <br /> Septic: Staf[Appro�al Date: By: <br /> Zonin�Fil�: m Resolu�ion: � Resolution Date: . <br /> Shoceland District: <br /> Av�. Setbac:<: Btufi etback: L.otCo�•era�e: <br /> E�� j Proposed <br /> H�dcover: 0-7�' <br /> 7�-250' — <br /> ti0-500' <br /> 500-1600' <br /> Hardcover Variance Required: Yes No Date of Councii Approval: _______ <br /> REI�IAR�;,S (in house): <br /> 7 <br />