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CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> AIaDRES S OR I,EGAL: =' �'/�- � ; � ` PID: _ <br /> DhSCRIPTION OF WORR: ' - <br /> ------------------- ---------------------------------------------- <br /> ZONING RL�VIEW BY: DATE APPROVED z 1 l�- 13-�t 5 <br /> BIIILDING KEVIEW BY� _ DATS APPROVED: I(� •13-`+5 <br /> ------------------- <br /> FEES TO BE CHARGED: Misc. Fees CaJ.cu�ated By: <br /> PERMIT Yes � No <br /> �LAN 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 /> ZONING CHECR LIST Zoning District• (Lc2 -�� <br /> Fire Department: l.on+r� U}i� Post Office: l,�Nc, V+c�.� Schoo� District: ORmNo <br /> Lot Area• Z l�c1wS +- Width: � ct,�� �uc� 2 Depth: - <br /> Survey Submitted : Yes � No Date of Survey: 9 � 5 • `�r5 <br /> Proposed Setbacks : , . <br /> Front (��) : Sv•5 Right Side: `-�6-`t° <br /> Rear ( S�eet) : so' -� Lef t Side: 3 00 <br /> Adjacent Structures : N(�{ Wet�and: ( C�O� + <br /> Buil.ding Height: Def . Hgt. 2� Peak Hgt. 3� � 5 <br /> Avg. Setback: nI �/�- Lot Coverage: N �l� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> N l� <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: �. <br /> Grading: Staff Approva� Date: I�-+3�y S By:�0 . C uncil Approval Date:_ <br /> Septi c: Staf f Approva�. Date: �/ g�('J BY= <br /> Zoning Fi�e: # " Resolution # : — Resolution Date: � __, <br /> REMARRS (in house) : � <br />