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CH�CR OFF LIST FOR ISSUANCE OF PF�2MITS <br /> ' � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI,: ;�.13� +�C��--7� I�� S PID: /G' _�� � - � 3 3/ O� �,6 <br /> D$SCRIPTION OF WORR: �'U � � l Z� � � L , �,f ;j - `� � <br /> -------------------- ----- - <br /> --------- ------- ------- -�----------------- <br /> ZONING REVIEW BY: �. DATE APPROVED: Z- �- �1� <br /> BIIII,DING REVIEW BY: ��� DATE APPROVED: <br /> -------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees CaJ�culated By: <br /> / �,���;�� PE2.,�.�-r <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 /> --------------f------- <br /> ----------------------------------------g- • <br /> ZONING CHECR LIST Zonin District /eQ� .g <br /> Fire Department• Post fi e J —School District: <br /> � �-,�(-�-� � <br /> , % � th: <br /> Lot Area: -� �-'Width: �P <br /> Survey Submitted: Yes� No Date of Survey: �t- �-`�`"( <br /> Proposed Setbacks : , <br /> Front (��) : � Right Side: �`��v� <br /> Rear ( Street) :_(��� r Lef t Side: 3`�� �' <br /> Adjacent Structures: S� We and: ! � ' <br /> Buil.ding Height: Def. Hgt. Peak�-Igt <br /> Avg. Setback: �� <br /> � ot Cove�ge� '� <br /> Existing Propdsed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' �Z�� <br /> Hardcover Variance Required : Yes No � Date of Council ApprovaZ : <br /> B ��, Ccuncil� Approval. Date: /'�'� <br /> Grading: Staf f Approval Date: I ? �� ""`7 �f Y� <br /> Septic: Staf f Approval. Date: /v �/-� BY� <br /> Zoning File: # /q64 Reso].ution # : 3�� Resolution Date: /1-ZY-`/ <br /> REMARKS (in house) : <br />