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� '� � CHECh' OFF LIST FOR ISSUA.�'�TCE OF PERtirITS <br /> FOR OFFICE USE ONL.Y . � . <br /> p,DDRESS OR LEGAL: y(,� �� GiZ���t�v�/J ��"��— - <br /> PID: <br /> DESCR�ION OF�ORK: oo � <br /> ZOti1\G REY�ti�%BY: D?�TE APPROVED: S • Z�-t -c�) <br /> BUILDli�'G REYIE�BY: D�TE APPROYID: �- 2`�(�-v 1 <br /> FEES TO BE CFL4RGED: Niisc. Fees Calcuiated By: <br /> pEg�T Yes � No �� <br /> PLAN REVIEW Yes .�' o SEWF.R C0�INECTION <br /> STATE SURCHARGE Yes _�o �TATERCOiVNECITON <br /> I'�i 1VESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO`7..-1tG CH�CK LIST zonin�Districc: ��2- 1 � _ . <br /> Fire Departm.ent: yh q�v� nv4,11 Post Ofuce: �pul3 p�� Sc�ool District: �cZON� � <br /> I,ot tlrea: Sq.fr. v C Acres � Widch Depth <br /> Surve;� Sub�itted: Yes p�_ No Date of Survey: �1- ?—t�'9`-( (c�n� r='�� <br /> Proposed Setbac!cs: <br /> F.ont (�aL•ej: 3�t� Ri�ht Side: � �2.7�0 <br /> . � <br /> Rear (Screet): ��t O Left Side: ) o o _ <br /> Adjaceat S[ructures: �` �Vetland: N I� � � <br /> guildin� Hei�hc: Def. Hgt. —' Pea.�:H�t. —' <br /> Lot Covera�e: ---- <br /> Gradin�: Scafi Approval Date: — By: Council Approval Date: <br /> Sepcic: Staff Approval Date: ---� By: <br /> Zoning File: R � Resolution: � Resolution Dace: � <br /> Shoceland District: W � <br /> Av�. Setback: Btufc Setback: LotCocera�e: <br /> E���? Proposed <br /> Hardcover: 0-7�' -- <br /> 7�-250' --- <br /> ti0-500' <br /> 500-1OQ0' - <br /> Hardcover Variance Required: Yes No Date of Council Aoproval: ___ <br /> gEti� (in house): <br /> 7 <br />