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CHECK OFF LIST FOR ISSUANCE OF PERcti.fITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: I Z$o SP�ZuC�►z. �V�� <br /> PID: <br /> DESCRIPTIOIV OF YVO.RK: Nc�w rzes <br /> ------------------------------------- --------------------------------------------------------- <br /> ZOtVItYGREVIEt�BY: _ DATEAPPROVED: z-�- os � <br /> BUILDIiYGREVXEWBY: .DATEAPPRO�'ED: Z-g c� <br /> ------------------------------- <br /> FEES TO BE CHf1RGED: .l�'Iisc. Fees Calccclated By: <br /> PE.RII�IT1' Yes � No <br /> PLAN REVIEYV Yes_�� tVo SEYVER GO�ViVECTID�V <br /> STf1TE SURCHARGE Yes ✓ 1Vo tiVATER CO�Wt ECTIOIY <br /> ItVVESTIGATIO�V FEE Yes �Vo ✓' PARK FEE <br /> St!C .Yes �Vo ✓ SITE INSPECTIO�Y <br /> Ncurtber of SAC U�:its OTHER (specify) ' <br /> -------------------------- <br /> 2'O�VING CHECh'LIST Zor�i►ig Disn•icc: LR-l� <br /> Fire Depnrtrnerrt: Post Office: School Dtstl�ict: _.. <br /> Got Area: Sq.ft. 1�3 �l'�0 Acr•es .4 Z �VicfdT 1��S'� �L�J4.y Depth <br /> Sccivey Subruitted: Yes�C_ No Date of Survey: ��• 22-04 <br /> Proposed Setbncks: � <br /> F�reut.{Gake): I�`� -t Rig/�t Side: . �9•� (S� <br /> YRectr-(Sn•eet): 35•� Left 5ide: �'.� � <br /> Adjncent Structures: n(1�4 6Vetlnnd: N 1►9 <br /> Building Height: Def. Hgt. 3� � Peak Kgt. 3!S � <br /> Lot Coverage: � 12•8 <br /> Grading: Staff.4pproval Date: Z.- 9• oS Bv: T.K• Cot�ncil Approval Date: <br /> sss co� <br /> Septic: Stnff�Ipprova!Onte: � �1� BY� —' <br /> Zoning File: # OS•3e�1� Resolution: # Resoli�tionDate: I-2Y�oS <br /> Sho►•elancf Dish•ict: �.r� _ <br /> Avg.Setback: p.1G Ble�f,J�Setback: /J 1/j Lot Coverage: <br /> Existing Proposed <br /> Xardcove�•: 0-7�' � <br /> 75-�30' 25 0 <br /> 250-500' _G— <br /> 500-1000' ! <br /> Harcicover 1/ariance Required: Yes No;� Date of Council Approval: <br /> ItE111ARKS(Bn ltotcse): ' <br /> 31: <br /> , , � <br /> a�o , ii�.( i i � ��,e, ' � t t� �,a� r�(H1 '����6r' ��I p �� �? if�'i 'F��� ��'�a <br /> � <br />