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� , • ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADD ORLEGAL: 3�zo s�ss�x 20� � <br /> PID: <br /> DFS ON OF WORK: �v� rZcs ' <br /> ZOl G 'VIEW BY: DATE APPROVED: �•Z�-�3 <br /> B I� REY�W BY: DATE APPROVEDt �-�-03� � <br /> FE '�' E CHARGED: Misc. Fees Calculated By: <br /> pEg� Yes ✓ No <br /> pL W Yes ✓ No SEWF�t CONNECITON <br /> STA S CHARGE Yes_f� No WATERCONNECTION <br /> I ATION FEE � Yes No PARK FEE <br /> SAC ' Yes No SITEINSPECTION <br /> N e f SAC-Units OTHER (specify) <br /> ZO H�CK LIST Zoning District: . <br /> Fire e�D ent: � Post O�ce: School District: • � <br /> Lot e�: �.ft. 85.�3� Acres 2•o� ' Width ���c.+-•� Depth <br /> Surve Sub 'tted: Yes_[� No Date of Survey: �-��t•�3 <br /> Pro eid S backs: . � <br /> Fr t(�.a�ee): 12° Right Side: �?-�`� <br /> R (S�): Zb0' LeftSide: 5�1.`!-+� <br /> ' A cent Structures: N��'' Nedand: N» . <br /> Build g H ght: Def. Hgt. Z'� Peal:Hgt. ��i•5 <br /> Lot oVer e: N�p <br /> Grad �: aff Approval Date: '7� Z�-�3 By: Q�U- Council Approval Date: — <br /> Sepd : S f Approval Date: By: <br /> Zo ' gj Fil # �' Resolution: # Resolution Date: _ � <br /> Shor l�ad istrict• N v <br /> . Setback: Bluff Setback: Lot Coverage: <br /> . Existin; Proposed <br /> ' dcover: 0-75' . <br /> '' 75-250' <br /> 250-500' <br /> . 500-1000' <br /> dcover Variance Required: Yes No Date of Council Approval: <br /> RE (in house): •. <br /> 7 • . . <br />