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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: t G���� i�-'�'Y�=-"f�i �I''��:�,'� ���'—�'� �-t�' <br /> PID: ��� —f/"7 -2 > �'', c3�,_� <br /> DESCRIPTION OF WORK: �jUl"�� �� <br /> ------------------------------------ ----/,—, ----------------------------------------------------------`------G-�--- <br /> ZONING REVIEW BY: !�� DATEAPPROVED: � I� ' U <br /> BUILDINGREVIEWB : , DATEAPPROi�ED: iU- + 5-0 6 <br /> FEES TO BE CHARGED: � Misc. Fees Calcz�latec�By: <br /> PERMIT Yes { No <br /> PLAN REVIEYV Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No _�� PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Nzrmber of SAC Units � OTHER (spec�) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: �- _ <br /> Fire DeparUTzer�t: L�_ Post Offrce: �ti����� � '`��School District: �/"�'��J <br /> ,�Z, �y ` r <br /> Lot Area: Sq.ft. �'J �J � Acres + - ti�idth � "'�� Depth ��'���(� <br /> Sanvev Sa�brnitted: Yes V No Date of St�rvey: <br /> �-�_-0 �� ✓. <br /> Pr•oposed Setbacks: P .+- <br /> Front I e : ��� ` Right Side: ���.��i 7��� �,/��r-��,��� ��(�" �- <br /> / � �_ '7 3; � � <br /> Rear(�re�l): IG Left Side: � <br /> Adjacent Strtrctures: ��� l�i�etland: � I � <br /> i <br /> Barilding f/eight� Def Hgt. �� -� Peak flgt. � ��� ��'/� <br /> Lot Coverage: (/��' �` %��t ��''_ (�f�,:cC� �., (� " <br /> � � ��� ���� �� <br /> Grading: Sta�f,4pproval Date: ��� �-������ By� ����� Cozrr�cil,4pprovn!Date: � � � <br /> Septrc: Stnff.�lpproval Date: By: <br /> 7_onirrg File: #� ������(�� Resoliitiorr: # S���� Resoluzion Date: � 1�' �/ � <br /> Shor•ela�td Dish�ict: � [I�ICWD Per�mit: � � <br /> .A�g. Setbnck: ��- �A'� -�._',�.��� f3/trff Sethnc%: �,� Lot Coverage: 1 , L7 • <br /> �Yisting� . Proposed <br /> llcu•dcover•: 0-7�' �'1.��`� �D �%4 �-61��c� • <br /> i�-2.50' ._ -"�_ ,'7 �U <br /> ?�0-,i00' — � <br /> �00-!000' <br /> I-k�rcicover !%n�•iance Reglurect: }es__ ,V� Date of Council Approval: �__ <br /> REMARKS(in house): <br /> 33 <br />