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CHECX ONLOFF`LIST FOR ISSUANCEOFPERMITS <br /> USEADDRESS OR LEGAL: L425- --Tay-AWA PID <br /> DESCRIPTION OF WORE: OPt��oN 5 _ <br /> ---------------------------- <br /> -----------D_ - <br /> ZONING REVIEW BY: �"^= _ APPROVED D - r�. °1( <br /> BUILDING REVIEW BY: DATE APPROVED: (o-I l -Ci( <br /> --- --------- <br /> FEES TO BE CHARGED: Misc. Fees Calcula--ed By: <br /> PERMIT Yes `� No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No-71", PARK FEE <br /> Yes No � SITE INSPECTION <br /> SAC <br /> Number of SAC Units OTHER (specify) <br /> _____ - ------------------------------- <br /> -------------------- <br /> ---------------- <br /> ZONING CHECX LIST Zoning District' LR-18 <br /> Fire Department: l .L, <br /> Post Office: L�- Sc.*-1001 District: <br /> } Dzpth: � <br /> Lot Area: tot 16 2 `I•b 1�i d th: �3o Ave- s7y, <br /> Survev Submitted: Yeses( No Date of Survey: f0 - 1Y-q( <br /> Pronosed Setbacks . <br /> (Lake ) ' R; cht Side : Z l � <br /> 5 � <br /> Rear Left Side : <br /> Adjacent Structures : k66*� Wet=and: <br /> Building He i cht: Def. Hgt. /V 16 Peak Hcy <br /> Avg. Setback: Lot Coverage: <br /> Existinc Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' x,23 0 <br /> 250-500 ' �p '01 °70 <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No..,(, Date of Council Approval:_ <br /> Grading: Staff Aaoroval Date: Bv: Council Approval Date: <br /> Sentic: Staff Approval Date: A11 BY: <br /> /t/ /C} Resolutionr: Resolution Date: <br /> Zoning File: -?", <br /> R�ARxS (in house) : <br />