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ce�� .�/, <br /> - _ � <br /> , , <br /> CHECe OFF LIST FOR ISSIIANCE OF P$F22�iITS <br /> FaR OFFICy USE ONL'� <br /> � .� ��j ^/ 7 ,, J <br /> ADD?�ESS OR LEGAL: �i'�'x / `-�1�:"�Lt'`1 C►C�� ��-�I/�.PID: <br /> DESCRIPTION OF WORR: <br /> --------------------------------------------------------- --- ------------ <br /> ZONING REVIEW BY: � , DATE APPROVED: R <br /> BIIILDING REVIEW BY: - DATE APPROVED: 3 l a -� <br /> -------------- <br /> FEES TO BE C3ARG�: Misc. r^ees Calculated Bv: <br /> PERMIT Yes No - � <br /> PLAN REVIEW Yes� No SEWER CONNECTION � �� <br /> STATE SURCHr�RGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No �( SITE INSPECTION <br /> Number of S�C Units OTHER (specify) <br /> ZONING C3ECR LIST Zoning Dist��ct ��- � �j <br /> � Post Of�' ce: Scnool Dist�ict: <br /> Fire De�ar`�ent: - <br /> Lot Area : Width: Depth: <br /> Survey Submi��ed: Yes� No Da�e os Surve��: lqgPj <br /> P=oDosed Se��ac?cs : /' <br /> FZ"OP.` lLdK2 / �=an� Siae : ^i ?C/ <br /> Rear ( Street ) . Le:� Side:�..� <br /> �i <br /> Ad�acer.� Structures : We�'_and: <br /> Building IieT ght: Def. Figt. Peak Hgt. �ts� �� .C�S���tG <br /> Avg. Setback: Lot Coverage: <br /> Existing P?'ODaS2� <br /> Hardcover : 0-75 ' <br /> 75-250 ' <br /> Z50-500 ' <br /> 500-Z000 ' <br /> 3ardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> �eptic: Staff Approval. Date: BY= <br /> Zoning File:� Resolution �: Resolution Date: <br /> R�ARAS (in house) : <br />