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, . _ � - _ CHECR OFFFORSO�F�C�IUSU ONC'BYOF P�HITS <br /> ADDRESS OR LEGr'�I.: �J�O � l.-f�(1� ,L�-'�� PID:�O'//7� � � .�I C'•C� 3 °I <br /> DESCRIPTION OF WORS: <br /> ��-''�"� - - <br /> ------------------------------------ <br /> ZONING RE'�TIEW BY: ,�., DATE APPROVED: l�- Ft-�ll <br /> BIIII.DING REVIEf�+T BY: C�w� l�u�— DATE APPROVED: /U- Ff-�1( <br /> FEES TO BE CHARG�: Misc. rees Calculated By: <br /> p�RMIT Yes f No <br /> PLAN REVIEW Yes-7 No SEWER CONNECTION <br /> STATE SIIRCHARGE Yes�� No WAT�R CONNECTION <br /> INVESTIGATION FEE Yes No� PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number_of_SAC_IInits-------------------OTfiER_ (s�ecify)---------------------- <br /> ZONING C�CK LIST Zoning Dist�ic�: � R-IL <br /> r^ire De�ar�:nent: I(vlo�N� pos� OFi=ce: t�4Z Sczool Dis�=ic�: Q�o <br /> Lot Area: I`�,�971 b . 33 Ac1te W_dth: 6 d � Au-� Depth: ( `l� Ave <br /> Survey Submi�ted: Yes� No Date oi Survev: 9 - z�l- y� <br /> P=o�osed Set�ac:cs : <br /> F�ont f�a�ei : ( 10 Rignt Side : �3� <br /> R�a r ( Si-��) b <br /> � Le=� Siae: (p b `f <br /> Adjace*�t St�nctsres : ► ) � We�'_and: /U�/� <br /> Bui?Ging Height: Def. Hgt. �V�14 ?eak Eg�.. <br /> Avg. Setback: LOL Coverage: <br /> EX1S�lII P?'ODCS�rS' <br /> �� <br /> FiniuCO v e= : l.'-'7� � <br /> 75-250 ' <br /> Zso—�ao � - S 3O � <br /> 500-1000 ' <br /> Hardcover Variance equire : Y o D te of ouncil Approval: <br /> Grading: Staff ADD oval Da e: � � By: ciI Approval Date: <br /> Septic: Stafs Ap roval Dat : � BY= <br /> - Zoning File: r R s lu�i n �: Re olution Date: <br /> RFMAR�C$ (� IlOL2S8� : <br />