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CHECK OFF LIST FOR ISSUANCE OF PER1tiIITS <br /> FOR OFFICE USE O.NL Y <br /> ADDRESS OR LEGAI_: ZZz�' ��''�N" C�-�� c-`2 <br /> PID: <br /> DESCRIPTIO.V OF yf�O.RK: A4� � r��o�► � /l•� �' �J e� <br /> -------------------------------------------- - ------------------------------------------------ <br /> 7_ONINGREVIEYVBX: D.�lTEAPPROVED: /-,3-a� <br /> B UILDI�VG RE VIB lI�B Y. D,4 TE APPRO 6'ED: / • 3-o s <br /> ------------------------------- <br /> FEES TO BE CHARGED: hlisc. Fees Calct�lrcted By: <br /> p�'��,[I�' Yes � No <br /> PLAtV REVIEGV Y"es ✓ No S.EYVER CON�VECTIDtV <br /> STATE SURCH.4RGE Yes �/ ��Io tiVATER COtVtVECTIOIti` <br /> INVESTIGATIO�V FEE Yes No ./� PARK FEE <br /> SAC Yes No ✓ SITE NSPECTIO�V <br /> Ncu�zber of SAC U�Zits OTHER (specify) <br /> ------------------------------------------------------------------------------------------------ - <br /> 7_O�YItYG CHECIi LXST Zor<i,tg Disv�tcr: <br /> Fire Departmertt: Post Office: Schoof District: ___. <br /> LorArea: Sq.ft. ,�lcres GYiddi Deptlt <br /> Siuvey Sub�iiitted: Yes�c__ No Date of Scuvey: 6 • �' g� <br /> Proposed Setbacl.s: � i <br /> F,•onr(Gal;e): /O� �— Right Side: 3a <br /> . <br /> Rear(Sn•eei): 1 $� Left 5ide: I �'g <br /> Adjace�zt St�•��ctceres: /v�� YVetln��d: —" <br /> Building Height: Def. Hgt. (,. J� Peak Kgt. <br /> Got Caverage: � �✓�/� <br /> G�•acfi�ig: Staff,4pprovccl Date: — By: Cottncil rlppr'oval Date: <br /> Septic: S[nff,4ppro��al Date: — BY'� <br /> Zo�ti�tg File: # — Resolc�tior2: # Resoltttion DnFe: <br /> S/toreland Dish•ict: 2 <br /> Avg. Setbnck. D•1�- B1e�ff Setbncic: /J (/� Lot Cover-age: — <br /> Elisti�tg Proposed <br /> Har•�fcover: 0-7�' � <br /> 7S_?�O� � 1�°7� <br /> ZSO-500' <br /> 500-1000' <br /> Har•dcover Var•iance Reqtieir•ed: Yes No__�_ Date of Coeutcil:{pproval: <br /> RE1I�IARKS(i�t hotcse): <br /> 31 <br />