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C�� OFF LiST FOR I5SI7ANCE OF P�.�?��'S <br /> „CFc OP�'I:,F ' v <br /> �� � � � LSE� ON�_ <br /> . � �y��E�� w�-` <br /> ADDRESS OR �.�`G�L: PID: %�- I/7" � 3 '� � ' a��n I <br /> DESCRSPT20N OF WORS: ��v� � <br /> ------------------ <br /> ---------------------- - <br /> ZONING REVIET�1 BY: - DA� APPROVED: �D - l�- �1I <br /> BIIII.DING REVIEW BY: �t�� DATE APPROVED: l�-17 -�I <br /> FF._.ES TO <br /> BE C3ARG�:—� ---------Misc gees Ca?cLla�ed Bv --------------- <br /> ERMIT � � <br /> p Yes N� �' �/., ��3� � � <br /> pLAN REVIEW Yes� No SEWER CONNECTION <br /> STnTE SIIRCHA.RGE Yes� No WAT�R CONNEC�'ION f.'M� <br /> INVESTIGATION FEE Yes�/ No� PARK FEE N�� �'j-'�<�� <br /> SAC Yes ✓ No SITE INSP�CTION <br /> Number c� S�C Units �_ OTfiER (specify) <br /> ----------------------- - <br /> ZONING C�CR LIST Zoning Dist_ic� L�' ��- <br /> �as� p�=; ce: wA�_� Sc:ooI D�.s��ic�: w��� � <br /> Fire De�ar�ment: Wwv�✓� � - <br /> , <br /> Lot Area: � �� AC-R,�S Width: r Y 5�=t' 14v� Dept'�: ��'�1fU�R. <br /> Survev Submi_�ed: Yes pC <br /> No Date oi Survey: 12�1�-�'10 <br /> P=oDosed Se��acks : �5 , <br /> - � y (�-� `-rS.Co �ignt Side : <br /> r ror.` — <br /> Rea� ( S��e�� , <�,��� �e=� Side • SZ.S <br /> � � <br /> . N�/� we�_ar.c: N�A <br /> Adjacnn� St~uctures : <br /> Builcing He� cht: De*=. Hgt. Z ' _ ?eak �ct. �,� - <br /> Avg. Se�ba c:c• �/�� Lot Cove=age: �7 • Z�7 '70 <br /> Existing P-oposed <br /> LT��r1 P,'()TTP?^ a ��/ S � <br /> 75-250 ' <br /> 25�-�00 � �y 6 �� <br /> - <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes NofLC Date of Council A�proval:_ <br /> Grading: Sta�f Ap�roval Date: By: Council Approval Date: <br /> Sentic: Sta�� Ap�roval Date: By= <br /> Zoning Fi.le•r Resolut�on �- Resolution Dats: <br /> � � ,a� �lC.I,�r..t�lU j—�4�'f—/E%`V ����'t—'-L_`-7 , <br /> R;EMARRS (in house) : � ��-.-r= <br />