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� � CHSCK OFFFORSOFF�CEIUSE ONLYOF P�KITS <br /> ADDRESS OR LEGAI.: �I�G ��-���,uoc� �, /� PID: _�`�������.� �/ G'G�d <br /> . , <br /> DESCRIPTION OF WORR: � 0�1 ��������-'yt.�-'.�-/ <br /> ---------------------�-J---------------------------------------------------- <br /> ZONING REVIEW BY: b. I�AN b DATE APPROVED: I�'3�'�( <br /> BIIII�DING REVIEW BY:_ cy �.�0���� DATE APPROVED: 1 v � 3O- � ( <br /> ---------------------{}-------------------------------------------------- <br /> FEES TO BE CHARG�: Misc. Fees Calculated By: <br /> pEgMIT Yes ✓� No <br /> PLAN REVIEW Yes� No SEWER CONNECTION <br /> STATE SIIRC3ARGE Yes� No � WATER CONNECTION <br /> INVESTIGATION FEE Yes No� PARK FEE <br /> SAC Yes� No SITE INSPECTION <br /> Number of SAC IInits �_ OTHER (s�ecify) <br /> ZO*?INC- r'EE� LTST -----------------Zoning Dis�rict---��-f�---------------- <br /> r^ire De�art�ent- �,.alfce Post Of�ice:L-O.t f�l� Scnoel Dist�ict: Z <br /> Lot Area: .�' �O� � Width: /�� Depth: `o��R <br /> � <br /> Survey Submitted: Yes� No Da�e oi Survev: /!�,/S��l � <br /> P�onosec Setbac:cs : / r � l <br /> Front (L�'�'i : l��o Ricnt Side : <br /> Rear ( St�e�t ) : ao2� Le�t Side: c3� ` <br /> Ac�acent Structures : / We��an��- �r <br /> Building neight: Def. Hgt. 2�S'� Peak Hgt. 31 � <br /> Avg. Setback: hl/ �'�- Lot Coverage: �� /� i' i � <br /> Existing Proposed <br /> HardcoveY : 0-75 ' <br /> 75-250 ' - <br /> 250-500 ' <br /> 500-I000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date : By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File:r Resolution y: Resolution Date:_ <br /> REMARKS (in house) : <br />