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CHECK OFF LIST FOR ISSUANCE OF PER1ti.tITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � � �� �''�' �vv � � '��- <br /> PID: <br /> DESCRIPTIO:V OF Yv"ORK: �� <br /> ---------------------------------- <br /> ZONINGREVIEt�BY: DATEAPPROVED: Q -3i-Ob <br /> BUILDX�VG.REVIEWBY: DATEAPPRO�'ED: � •� r-�� <br /> FEES TO BE CHARGED: 1Llisc. Fees Calci�lated By: <br /> PER�LIIT Yes ✓ N"o <br /> PLAN RE VIE GV Y"es ✓� No SE yYER CONNECTIO�V <br /> STATE SURCH4RGE Yes v" r�Io � tiVATER CO�VIVECZ�IOIV <br /> IIVVESTIGATI0IV FEE Yes [Vo _�� PARK FEE <br /> SAC Yes tvo _� SITENSPECTIO�V <br /> Ncc»zber• of SAC Units '�tz7 i o- iz-b6 OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZO�VIIYG CHECK LIST Zar�i�tg Disd�ict: « � �� <br /> Fire Depa�•hnerit: Post Office: Scliool District: __.. <br /> Lat.drea: 5q.f't. �Icres �. 27 Yt�idth �� Deptli <br /> Survey Subrnitted: Yes�_ No Date af Stuvey: ��� ' � <br /> Pr•oposed Setbc�cks: (1W� � <br /> Frerst(Lalce): _ �`13 Rrgfrc'Side� � O� <br /> �eerr• (Sh•eet): I�7 7 � L�eff-Side: 3 . � <br /> Adjacent Structures: YIICI 6�etlarid: �/�}' <br /> Buildiflg Height: Def. Hgt. 3V Peak Kg[. 3 7 <br /> Lot Coverage: y'���� •���� <br /> Gr•ading: Sraff Approva[Date: U' J�' a V By:T�� Council Appr-oval Date: " <br /> Septic: Staff,�{pprot�al Date: _��� BY� _.t,,�� 9 <br /> Za:iizg File: # — Resolutioii: # - Resoli�tio�i Date: " <br /> S/ioreland Dish�ict: �/�5 <br /> Avg. Setback Q� B1��ffSetoack: rS (A LotCover-aoe: �•S <br /> Es�sting Praposed <br /> Hardcover: 0-7�' U � <br /> �s-?so� (071 27,9�SU.s� z4°la <br /> zso-soo� ��q,L2�fsF 7�6oid <br /> soo-l000� �__ <br /> Kardcover f/arimtce Reqecired: Yes No ✓ Date of Cocuacil�Ipproval: <br /> REMARKS(i�� ltoicse): �� �clC'c,t�P.� h�Ylr��f� %�'1C�c.��e.. [�d� b�- � <br /> dr,.� �, � �d� <br /> „ <br /> �� <br />