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� CHECR OFF LIST FOR ISSIIANCE OF PSRlSITS <br /> � FOR OFFICy USE ONLY <br /> ADDRES S OR LEGAL: I�1 b O � C�X iZ l�Ca� �U��n P�= <br /> DESCRIPT20N OF WORR: �F C.IL <br /> ----------- -------------------------------------------------------- <br /> ZONING RE�TIEW BY: ',�'� � C�1��ow DATE APPROVED:� - ��- `l; <br /> BIIILDING REVIEW BY� '�,,,��a ��n�c�-- DATE APPROVED: IQ '' G� -- <br /> -------------------- <br /> FEES TO BE CHP,RGSD: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes +�'} � No SEWER CONNECTION <br /> STATE SIIRCHARGE Yes v No WAT�R CONNEC'^ION <br /> INVESTIGATION FEE Yes No � . PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Uni�s OTfiER (specify) <br /> ------------------------------------------------------------ - <br /> ZCNING C�CK LIST Zoning Dist�ic;.: �l�%�' <br /> Fire De�a�y:nent: /�! L Pos� Of�ice: G��L School Dis��ict: i� �_ <br /> Lot Area: /'�!� Width: Depth: <br /> Survev Submitted: ves_� No Date oi Surve��: F�- Z�-Ot ( <br /> PTo�osed Se��acks : , <br /> Front t��i N��F� RiQnt Side : 8� "�' <br /> � ' Le�t Side: ( 3�`� <br /> Re ar ( S-�e�c) : 8 5 = <br /> � <br /> Ad jacen� Structures : f}7T1Ac H c� We�'_and: J�j/�} <br /> Building fieight: Def. Hgt. � / � Peak Hgt. �� <br /> Avg. Setba c:c: /�(�} Lot Coverage: N�/�J <br /> EX1.S�1IIC'j PZ'ODOS?Q <br /> / <br /> � <br /> xardcover : 0-75 ' f � <br /> 75-250 ' <br /> 250-�00 ' <br /> 500-I000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> ---------- _ <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Sta�f Approval Date: BY� <br /> Zoning File : � Resolu�ion �; � Resolution Date:__ <br /> REMARKS (in �ouse) : " E <br /> ; , <br /> i <br /> � <br /> � <br />