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CHECR OFF��SOFF�CEIUSE ONLYOF P$FtHITS <br /> ADDRSSS OR LEGAL: I I D �m , '-� � _PID: � �2 � j% ( � ti -� � _�'i -�o .� � <br /> /� = , <br /> DESCRIPT20N OF WORS: I �X � �` �(����z'� <br /> ------------------ - - <br /> --------------------------_--�-`------� ------- <br /> ZONING REVIEW BY: DATE APPROVED. � / S�— g <br /> BIIILDING REVIEW BY: DATE APPROVED: /I • Ig• � <br /> -------------------- <br /> FEES TO BE CHARGSD� Misc. Fees Calculated By: <br /> pEgMIT Yes ✓ No <br /> PLAN REVIEW Yes�� No SEWER CONNECTION <br /> STATE SIIRC3ARGE Yes—� No WATER CONNECTION <br /> INVESTSGATION FEE Yes No f PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------ - <br /> 2�hTS�G CEE�K LIST Zoning Dis�._ict: �(Z-1 � <br /> Fire De�artment: (_.L Post 0`�ice: Scnool Dist=ict: <br /> Lot Area: N ��- Width: fU I �- Depth: /�/ C� <br /> Survey Submit�ed: Yes� No Date oz Survey: I!-'7- a/ <br /> Pro�osed Setbacks : <br /> Front E-��) ' it/ �l4 Rignt Side : 13p� '+ <br /> , .,_ <br /> Rear ( Street ) : -7 3 Lef� Side: � �� <br /> Adjacent Structures - ,��-u�ed� We�'_and: <br /> Building Height: Dez. Hgt. P�ak Hgt. 2 �• �� <br /> Avg. Setback: /l/�/�- Lot Coverage: /V/� <br /> Existing Propo ed <br /> Hardcover : 0-75 ' <br /> 75-250 ' <br /> 250-500 ' � <br /> � <br /> 500-I000 ' � i <br /> i� ' <br /> Hardcover Variance Re uire�i: Yes/ Nq" Dat�e of I uncil Approval: <br /> Grading: Staff Appr al Da�e: <br /> � gv; ���n' iI Approval. Date: <br /> i <br /> ; <br /> Septic: Staf� Apgr vaI Dat�: BY`� <br /> � !i , <br /> Zoning File • = i R��so]�ution �"- � Res lution Date: <br /> j ; ' ° "a <br /> REMARKS (in ho e) : �' � � <br /> / i <br />