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CHECK OFF LIST FOK ISSUAlYCE OF PER1tiIITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS ORLEGAL: 1200 �(ZACK�TS Poiu�t' 1?,carJ <br /> PID: <br /> DESCRIPTIOIV OF Yf�ORFC: ��s„(�Q,�� c�,� r�.0 � �iv-� ��='�'�°A�=z- <br /> - ------------------------------------------------------------------ <br /> ------------------------------- - <br /> ZOtYItVGREVIEyVBY: � D.ATEAPPROVED: Z-i6-�S <br /> BLiILDINGREVIEyi�BY. DATEAPPR06'ED: 2-�6 -oS <br /> ------------------------------------- <br /> FEES TO BE CHARGE.D: 1L'Iisc. Fees Calcccfccted By�: <br /> PERNIIT Yes �/' No <br /> PLA�V RE I�IE GV Yes �/ �Vo SE tiVER GON�VECTION <br /> STATE SURCH.4RGE Yes __� �Vo YVATER CO�WECTIOIV <br /> I�VVESTIG,4TIO�V FEE Yes �Vo PARK FEE <br /> SAC Yes No SITE NSPECTIOtV <br /> Num6er' of SAC U�zits OTHER (specify) <br /> -------------------------------------------------------------------------------------- -- <br /> ZO�VIIVG CHECIi LIST Zorcirt,�Dist��ict: No C/-/ANGe <br /> Fi�•e Deparhnerrt: Post Office: Sclr.00l Distr•ict: __.. <br /> Lor.=irea: Sq.f't. Acres 6�idtlt Deprh <br /> Scutiey Subniitted: Yes No ate af Su�vey: <br /> Proposect Setbadcs: <br /> Fror�t(Lal.e): Right Side: <br /> Renr(Str•eet): Geft 5ide: <br /> Adjace�zt Str��ctcu•es: Wet rtd: <br /> BuildirTg Height: Def. Hgt. eak Kgt. <br /> Lot Coverage: � <br /> Gracfing: Staff,4pproval Date: By: Council rLppi�oval Date: <br /> Septic: Stnff,�lppf•o1�al Dc�te: BY� <br /> Zonirtg File: # Resofutia : # Resolutiat Dnte; <br /> Slaoreland Dish•ict: <br /> Avg. Setbnck: Blu 5etback: Lot Coverage: <br /> Elistt a P�•oposecf <br /> HRrdcover: 0-7Y <br /> 75-2.i0' <br /> 250-500' <br /> 500-1000' <br /> Harc{cover Variartce Reqcei�•ecf: Yes No Date of Coc�ncil Approval: <br /> REi12ARKS`(irt liouse): <br /> 31 ' � <br /> ., <br /> � � �ry�i � <br /> , s i, �i�,�ti r <br /> . <br /> � � � �� � <br /> , . . ,: <br /> ., ,}.., , � iit'h. <br />