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CH�;CR OFF LIST FOR ISSIIANCE OF PERMZTS <br /> • FOR OFFICE USE ONLY <br /> )DRESS �R Z,EGAL: (I�ZSS 1=0x 5T _PID: p3 • //7-Z3 yY 000'� <br /> �SCRIPTION OF WORR: IU E �s <br /> ---------------------------- <br /> -;:7ING REVIEW BY: DA�E APPROVED: <br /> uILDING REVIEW BY: �- DATS APPROV�: <br /> --------------------- ---------- <br /> ''EES TO BE CHARGED• Misc. Fees Calcul.ated By: <br /> �ERMIT Yes �/ No � <br /> ?LAN REVIEW Yes � No SEWER CONNECTION <br /> ?iATE SURCHARGE Yes � No WATER CONNECTION <br /> iNVESTIGATION FEE Yes No � PARR FEE <br /> SaC � Yes No ✓'� SITE INSPECTION <br /> �7umber of SAC Units OTHER (specify) <br /> ---------------------------------- <br /> -------------------- <br /> �'ONING CHECR LIST Zoning District: (Z�-1� <br /> `ire Department- � Post Office- WAvz�4�4 School District: oRo�va <br /> Lot Area: Q SOOt'� o•�r Ac2�S Width: �ZS �A+.'�= ± Depth: ri��'c' 'Ai c; ± <br /> Survey Submitted: Yes X No Date of Survey: �� ' �� � y Z- <br /> Proposed Setbacks: <br /> Front (Ir�c) : i 7t-% �� t Right Side: � l�>���� <br /> Rear (Street) : !�, L� � t Left Side: w a35.� � <br /> Adjacent Structures : �rR WetJ.and: � �'`'it <br /> , g � / <br /> 3uilding Height: Def. Hgt. Z.`z Peak H t. ZS <br /> �vg. Setback: <br /> �ot Cov rage: �i <br /> E i •ting � Propo ed <br /> � <br /> Hardcover: 0-75 ' <br /> / <br /> 75-250 ' � /y�g�� <br /> / <br /> 250-500 ' � <br /> � � ; <br /> 500-1000 ' /` <br /> aardcover Varian Requir d: Ye N Date o� Council A roval: <br /> � �' 1� <br /> Grading: Staff A proval Da e: By: �Counci� Appro�al Date: <br /> Se tic: Staff A proval Dat BY=�_ � ', <br /> P ' <br /> ! 1 <br /> Zoning File-# Re ol�tion Resolution D�.te: <br /> t � <br /> ItEMARgS (in h nse) : ' <br /> / <br /> �r � <br />