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w _ . _ ' . <br /> ' *--:r� r,-a� ��..� an� TL�CTT��11T� �*� ��L+�Trr,c_ <br /> ' t„QL�I�S� V1'1' LiUl 1'VL� tvvv�aa��..0 va llv <br /> �OR OFFICE USE ONLY <br /> ADDRESS OR Z.r,"GAI,: �J�� U Y_� ;,,�'►'1 �c1 /�l� PID: .3 �' �/� "•� 3 // O�'iD � <br /> --�c^Y-�m-��a n� �;n�_- /��'I�l�� ,�y�-f� <br /> ::...,:.�.�� � - <br /> ------------------------/-� -------------------------------------------------- <br /> ZONING REVIEW BY: NIlT DATE APPROVED: <br /> BQILDING REVIEW BY: I'IW�o �J(/N�� DATE APPROVED: /d' y`y7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�� PARK FEE <br /> SAC Yes No� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------g---------�--------------------------- <br /> ZONING CHECR LIST Zo in District i �//� <br /> Fire Departmen : Po t Offic : S h ol District: <br /> Lot Area: Wid Dep h: _ <br /> Survey Submit e : Yes No Date of Survey: r <br /> � r/ <br /> Proposed Set ck : i ;" <br /> Front ( ake : Righ�t Side: <br /> � <br /> Rear. ( S reett : Lef� Side : � <br /> Adjacen Stru tures : � _� we�iand: <br /> -- � '1 �eak H t. <br /> Bui lding He ' gnt: ef. rigt. 9 - <br /> � ,, <br /> Avg. Setbac : � Lot Co�erage: <br /> Existin �' Froposed <br /> � �� � __.___.. _ - � <br /> i ;' <br /> , �, ; <br /> H3��COV2I': a0-75 � r' <br /> � > <br /> / Il <br /> 7 -250 ' j ' <br /> S j� i <br /> 25 -500 ' �. <br /> 500�-1000 ' � � <br /> Hardcover (Variance Regu�'r d: Y � No Date of Council Approval: <br /> � <br /> Grading: taff Approval 'ate: � By: Council Ap�proval Date: <br /> , I ! <br /> Septic: S aff Approval te: � BY� � <br /> Zoning Fi e: � Resolu ion �: Resolution Date: <br /> RRMARKS (in house) : <br />