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CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> �DRESS OR LEGAL: l�t g �=• �-'U}� R.11�C^�- F'-a A� PID: . <br /> ' DESCRIPTION OF WORR: �A�y4:a:' -Fi-C1s�'� T �cr�= �� CnF}2�+�'r.•�_ ;':t,.vvPEt�,9on� ;'-o �C%rr�-,+c_.t�_�.r. <br /> ---------------------�-,-f�------------------------------------�----------- ---- <br /> ZONING REVIEW BY� '"��,,,�„ 1 ��_ DATE APPROV$D: �j - (b'S. <br /> '-�---- <br /> BIIILDING REVIEW BY: "��1 ' r,�,,,,�,,� DATB APPROVED: �'' `IG�• S � <br /> y�!� . <br /> ---------------------- �-}-------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calcu�ated By: <br /> PERMI T Ye s �- No <br /> PLAN REVIEW Yes �- �� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �i-� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) , <br /> -------------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: f�l�.�-i (� <br /> Fire Departm��t:( Post qf�ic��:, ' ' t�choo� District: <br /> Lot Area: ! -- Wid�h: � . ..._. , . D��.th: <br /> Survey Submitted: Yes ;t No Date of Survey: '>`�- Z--�' �% <br /> Proposed Setbacks: <br /> Front (��Ce) : Z`�{�'-1 Right Side: �5` �� <br /> Rear (Stree�t) : �'�.�`�t Lef t Side: � �a , •3 � �''� <br /> Adjacent Structures: 1��7��.?-�c=-�' Wetland: N�F <br /> Buil.ding Height: Def. Hgt. - K- Peak Hgt. <br /> , <br /> Avg. Setback: �`� k Lot Coveraqe: ` <br /> -�''�Existing Proposed �' <br /> J <br /> / <br /> Hardcover: 0-75 ' / <br /> , <br /> 75-250 ' <br /> 250-500 ' � ; <br /> 500-1000 ' <br /> Hardcover Variance Required : Yes No�_ Date of Council Approval: <br /> Grading: Staff Approval. Date: By: ~ Council Approval Date: <br /> Septic: Staff Approva� Date: BY: <br /> Zoning Fi�e:# Reso�ution #�, Resolution Date: <br /> / <br /> RBMARRS (in house) : <br /> ! <br />