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,� _ � CgECR OFF LIST FOR ISSIIANCE OF ����`�5 <br /> - FOR OFFICE USE ONLY <br /> (� r % ' PID: .�O //7' �3 �j GC�,:7 „�,S' <br /> ADDRESS OR LEGAL: ��I d � ���-� �'��`'� <br /> � ' � ��;.ti.0 A 1;:.,v <br /> � n,��� <br /> �DESCRIPTION OF WORR: -------------------- <br /> --�------DATE <br /> ------- ---- � Z _ - __ <br /> ------------- p�PPROVED: � � 5 <br /> ZONING REVIEW BY: ` <br /> J DATE APPROVED: 7 -i Z -`" � <br /> BIIILDING REVIEW BY: � L�••t�..- -------------------- <br /> ���i ��.������������� <br /> --------- <br /> FEES TO BE CHARGED- Misc. Fees Calculated By: <br /> PERMIT Yes �N� <br /> PLAN REVIEW Yes ;/' No SEWER CONNECTION <br /> STATE SURCHAFtGE Yes� N° WATER CONNECTION <br /> pARK FEE <br /> INVESTIGATION FEE Yes No � SITE INSPECTION <br /> SAC YeS OTHER ( specify) <br /> Number of SAC Units --------- <br /> -------------------- <br /> ZONING CHECR LIST Zoning District: <br /> � Post Off ' ce• School District: <br /> Fire Depa tment: � — <br /> Lot Area : <br /> � Width: D pth: <br /> Survey Su mi ted: Yes <br /> No D te of Survey: <br /> Proposed etb cks: ight Side: <br /> Fron (La e) : <br /> Rear' (Stre\ t) : �.ef t Side: <br /> � ; Wetland: <br /> Adjacent St uctures : � <br /> Buil�ding Height: Def . Hgt t a <br /> Peak Hgt <br /> � <br /> Lot Coverage: <br /> Avg. Setback: � proposed <br /> Existing � , <br /> i - <br /> Hardcover: 0-75 ' ; i <br /> i <br /> � <br /> 75-250 ' ; ,' <br /> i ' <br /> 250-500 ' � <br /> 500-1000 ' � <br /> � Yes No Date of Council A prova�:__ <br /> Hardcover Variance Requi e : <br /> Grading: Staff App <br /> roval a e- � By• Council Approval Date: <br /> Septic: Staff Approval Da By= <br /> Zoning Fi�e:# <br /> Re+soluti n �• Resolution Date:_�_ <br /> REMAggS (in house) : <br />