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� <br /> ��z��.��'c /G�:-_:3C�_-.Fd <br /> • " � CHBCR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �:�j�� ���,lLi`'� �� � . PID: <br /> DESCRIPTION OF WORR: <br /> ------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: /� —a._� - �b <br /> BIIILDING REVIEW BY: DATE APPROVED: ((� - 3b -�1 v <br /> F$ES TO BE CHARGSD: Misc. Fees Calculated By: <br /> PERMIT Yes v 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 /> ------------------------------------------------------------------------------� <br /> ZONING CHECR LZST Zoning District: � � - / ,(� <br /> Fire Department: '-`""�- Post Office: -`^-�- School District: - <br /> Lot Area: -�"-`�� Width: �-- Depth: <br /> Survey Submitted: Yes �/ No Date of Survey: 1� - l - �S' <br /> Proposed Setbacks : <br /> J��.t (��_�.,Q 1 Right Side: 3 CJ ! <br /> Rear�o(�����) i.��p r Left Side: � <br /> A-0..Ao�. - <br /> Adjacent Structures : Wetland: <br /> Building Height: Def. Hgt. --��� Peak Hgt. �--- <br /> Avg. Setback: �^ Lot Coverage : �p/�( . �Z- jl.3� <br /> Existing Proposed � <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover� Variance Required: Yes No Date of Council Approval: <br /> s <br /> � <br /> Grading: Staff Approval Date: By: Council Approval Date: i <br /> Septic: Staff Approval Date: ---�— By: �- � <br /> , <br /> Zoning File: # �Sq�-�" Resolution # : Resolution Date: /d -�,a-yG 4 <br /> i <br /> . t <br /> REMARRS (in house) : y <br /> i <br />