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. ' <br /> _., <br /> � � C�� O�FORSOFF�C:�IUSII oNCLEYOF Pffi�iITS <br /> ADDRESS OR LEGAI.: b��1 oa�s P�= <br /> DESCRIPT=ON OF WORK: <br /> --------------------- - <br /> ----------------------------------�- - --- <br /> ZONING RLrVIEW BY s DATE APPROVED: c5 � oZ- <br /> BIIII.DING REVIEW BY:� DATE APPROVED: S <br /> --------------------- --- <br /> FEES TO BE CHARG�: Misc. F�es Calculated By: <br /> p�IT Yes� No � <br /> PLAN REVIEW Yes� No S�WER CONNECTION <br /> STATE SIIRCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes� No SITE INSPECTION <br /> Number of SAC IInits �_ OTHER (specify) <br /> ------------------------------- <br /> ZONING C�CR LIST -----------------Zaning Dist�ict: � �-t� <br /> Fire Depary�.ment: Post Office: � IG School District: <br /> r <br /> Lot Area:�s. �D W�dth: �eD � Depth: ol� <br /> Survey Submitted: Yes� �to Date of Survev: 11c a.3 QeZ. • <br /> Proposed Setbacks : �O �D � 1 � <br /> Front ( e) : < < Right Side: �I <br /> � �r <br /> Rear (Street) :���v Left Side: _ <br /> Adjacent Structures : IvaNe Wet?and: /VOK - <br /> ! � <br /> Building Height: Def. hgt. 3D Peak Hgt. 3 S <br /> Av . Setback: Lot Coverage: ? '�/` ���'� U�/C� �C��0�� <br /> g <br /> Existizg Proposed <br /> Hardcover: 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:� Resolution �: Resolution Date:__ � <br /> �RMARK$ (in honse) : � <br />