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CHECK OFF LZST FOR XSSUANCE OF PER�I�.ITS <br /> � FOR OFFICE USE ONLY <br /> A1�DAESS OR LEGAL: Z�ti S Q�v„v (,4,w.e � <br /> PID: <br /> DFSCRIPT'iON OF VVORK: A c�����.oti �'f � � <br /> ZO�TiYG REVIEti�BY: � � DATE ApPROVED: 2• 2 3 `�J� <br /> BULLD .�i IG REVIEti� BY: � . DATE APPROVED: 2 - z 3- .�i� <br /> FEES TO BE C�TARGED: Misc. Fees Calculated By: ~� <br /> PERMIT -Yes � No ' <br /> PLAN REVIEW Yes �' No SEWER CONNECTiON <br /> STATE SUR`H�,RG� Yes v No ��ATER COYNECITON <br /> IIYYESTIGA'ITON-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECITON <br /> Number of SAC Units �`OTHER (specify) <br /> -------------- ----- -__ <br /> ZONI�TG CHECb LIST zoni.ng District: (�2- 1.(� � <br /> Fire Departrnenr. �.p�� (,��� Post Oftice: (,c�,� c,�; School District: 6�� ' <br /> Lot Area: Sq.ft._ g�f 15� Acres 2 tiVidth 3`�v Depth Z Z5 <br /> Sucvey Submitted: Yes Oc No Date of Survey: o� ��(� Y-z2 75 <br /> Proposed Setbacks: <br /> Froat (La.�Ce): . g Z�,-� _ _ _- Right Side: 1?7 � �— � __ -_-. <br /> Rear (Street): ►�S�'� Left Side: 2.0 '{ � � <br /> Adjacent Stnictures: _�4�-r�c.(>f�Y� �Vetland: /ll (/�- <br /> BuiIdina Height: Def. Hgt. _ 6 .�� Peak Hat. — - <br /> Lot Coverage: c`>� �C- <br /> Gradin�: Stafi Approval Date: _ yt///-� By: Council Approval Date: <br /> Septic: Staff Approval Date: _ �l/ (/�' gy; • � . <br /> Zoain� File: � � Resolution: � Resolution Date:� • <br /> Sl�orel2nd Dis[.-ict: /l/(� � <br /> Avg. Setback: Bluff Setback: LotCoveraoe: � <br /> � ' E���� Proposed <br /> Hardcover: 0-75' <br /> 7�-250' . - • <br /> 250-500' . . <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date oE Council Approval: <br /> . Y <br /> REl�L4RKS ('in house): � <br /> z � _ . - . <br /> ,,� _ . 26 <br /> , ' �t� . . <br />