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CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRBSS OR LEGAL: ?j��'I 3 C-�CR R� AVt PID= <br /> D$SCRIPTION OF WORR: Z Srto f4���Tfl^� D^r �XtS7'/ o? /L�N'r� <br /> ---------- --------- <br /> --------------_--- , � <br /> ZONING REVIEW BY: DA�`E APPROVED Y 7'�l . <br /> � DATE APPROVED: �I-7-`�'j <br /> BIIILDING REVIEW BY: <br /> ----- --------- <br /> FEES TO BE CHARGED� Misc. Fees Cal.cu�ated 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 /> ---------------------------------- <br /> ----- <br /> -------------------- L/L• lL <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: V�Dur�✓� Post Office : Mti✓^�� School District: w25�^�K�° <br /> Lot Area : 1�4'I� Width: �D� Depth: 1�� <br /> Survey Submitted : Yes �e No Date of Survey: Z-5' S� <br /> Proposed Setbacks : �,y��„ c <br /> Front (�e) : �!�/•� Right Side: _ <br /> Rear (��T�t) IS��f Left Side: C�7� t w <br /> Adjacent Structures : �7'7�?�%KL-Y� Wetl.and: /l//i4 <br /> Bui�ding Height: Def . Hgt. 1 $•� Peak Hgt. Z o�� <br /> Avg. Setback: <br /> �itJ%y1 Lot Coverage : N��` <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 � r��3g�o ! 7. ��' �� <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required : Yes No_p� Date of Council Approva� : <br /> Grading: Staff Approva� Date: `I-�-� 5 By� o'�d • Council. Approval Date : <br /> Septic : Staff Approval Date: /��/� BY= <br /> � <br /> Zoning Fil�e• � f��0`1" Resolution � • � Resolution Date :�_. <br /> gEMARRS (in house) - <br />