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CHECK OFF LIST FOR ISSUANCE OF PER�ti.tITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �7 � � � C ����� �`�5��� �� �-`J — <br /> b <br /> PID: <br /> DESCRIPTIO�VOF lt��ORK• /�O� b c�i�'I �QcK� �'avP.�'� ,6� -�"��/� <br /> - --------------------------------------------------------------------------- <br /> -------------------------------------------.- <br /> ZOtYINGREVIE6�BY: � ' DATEAPPROVED: � � �7DC� <br /> BUILD,IIVGREVIEWBY: — DATEAPPROti'ED: � z� -o ` <br /> FEES TO BE CHARGED: lYtisc. Fees Calcufated By�: <br /> PERILIIT Yes � 1`i"o <br /> PLAN RE VIE GV Y'es � No SE tiYER CON�VECTION <br /> ST�LTE SURCH4RGE Yes � !Vo tiVATER CO�WECTIO�V <br /> IIVVESTIGATIO�V FEE Yes [Vo �RK FEE <br /> SA C Yes rVo SITE rNSPECTIO�V <br /> Niu�2ber of SAC Units OTHER (specify) <br /> ------------------------------------------------------ ----------------------------------------------------------------- <br /> _ � ��''7 <br /> ZO�YI�VG CHECK LIST Zor�t,tg Disd•ict: _�� �— <br /> Fir•e Depa1•hrtertt: Post Offcce: ScJ�ool Distr'ict: !_._. <br /> Lot.�lrea: Sq.ft. Rcres �Vidtl: Depth <br /> Swvey Subncitted: Yes No ✓ Date of Suivey: (QaS <br /> b�ddtnc� pQr w��k• s�v� — r4oc w�al.�Q,�no�c�1� <br /> Proposed Setbacl.s: l�(C�S� ,�. <br /> Fror:t(-�-crlee): �A' Rigfzt Side: Z��' <br /> Rear(�e�ay. 2��� '�' s�eftf'ide: �� '+'" rlO wcc-f'�?M(/ G+'► <br /> ,4djace�zt Struct�tres: — 4�etlarid: ��P�� <br /> Builcling Keigltt: `Def. Hgt. ''" Peak Hgt. — <br /> Lot Coverage: hA� <br /> Gracling: Staff,4pprovc1l Dc�te: /J�� By: Cocuicil Approval Date: <br /> Septic: Staff,�lpprova!Date: v � BY: �� <br /> Zor2i�t�File: �_�r�� Resolc�tiorz: T Resolurion Date: <br /> S/toreland Dish•ict: �p <br /> Avg. Setback: Blc�ff Setoack: Lot Cover-age: <br /> Ecisti�tg Proposed <br /> Harcfcovet•: 0-7.i' <br /> 7.5-?�0' <br /> 250-500' <br /> S00-IOGO' <br /> Hardcover f/c�rimtce Regccired: Yes No Date of Cou,�cil�{ppraval: <br /> REttiIARKS(in house): <br /> -,, <br /> �� <br />