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- _ - � CgEG3C OF _ �_. �FF�C"IUSU ONG'LEYOF PSRMITS <br /> � r <br /> c�DDRESS OR I.EGAL: � O ! �-rQ_ � � PID: � �/ -�/,�� c� �i ,�� � �l'�' <br /> . � �� � <br /> DESCRSPT20N OF WORS: ' � r.2��n - ` �'� ��-`?�`�`'�`�''`'� - <br /> _� -------------------------_----- 3 ------------ <br /> ------------------- - -- - <br /> ZCNING RL�7IEW BY s DATE APPROPED �� 02 CC� <br /> BIII?�DING RE9IEW BY: . DATE APPROPED:�aIa 3 a I <br /> FEES TO BE C3ARG�: Misc. Fees Ca1cul.ated Bv. <br /> p�rlT Yes ✓ No <br /> P7�AN REVIEW Yes� No S�WER CONNECTION <br /> STATE SIIRC3ARGE Yes� No WATEB CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC IInits OT�R (s�ecify) <br /> ----------------------------------------- <br /> ZONING CHECK LIST Zoning Dist=ic�: <br /> Fire De�artment- Vl �� pos� Ori=ce: Sczool Dis�_ict: <br /> Lot Area: Width: ��� Depth: .��__ <br /> Survey Submi�ted: Yes� No Da�e o� Survey: <br /> Pro�osed Set�ac:cs : { �s- <br /> �ront (ba:'�') � � � Rignt Side : <br /> Rear ( S'-- _t ) ��' Le:� siae: .�C7.3 <br /> Adjacen� Struc�ures : We�?and: <br /> Building Height: De�. Hgt. Peak figt. <br /> Avg. Setba <br /> �k: Lot Coverage: 'J���D o� �J�'��Q��� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' - <br /> 500-Z000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval.: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> SeDtic: Staff Approval Date: BY= <br /> Zoning File : T Resolution �- _ Resolution Date: <br /> �R'±�tARK$ (in house) : <br />