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, CHECK OF'F' LZST FOR ISSUANCE OF PER�I�IXTS <br /> � FOR OFFICE USE ONLY <br /> ADDRFSS ORLEGAL: ��3 �ir�..����t���� 1����.., � . <br /> PID: <br /> DESCRTPTTON OF ti�ORb'.: �` � - — -� � � (f �..� . --- . <br /> _> .�`.�.�v .-" . c�—�.- <br /> , _ L.7C. ��i...7iv'� J'�( <br /> ZOti'�YG REVIE'�� BY: ��� ' . � --- <br /> G� � ° � DATE APPROVED: ; `-.i Y - � <br /> BUII�YDT.NG REVIE�V BY: � �-' �t. :,� � DA1E APPROVED: _� ~z.. �� :c� <br /> �EES TO BE CHARGED: • - � Misc. Fees Calculated By: ~ <br /> PERNIIT -Yes ,�. No . <br /> PLAN REVIE�1 Yes _,� No SEWER COYNECITO�I <br /> STATE SUR:H�1.RCr� Yes __,� No 'P�IAT�RCO�NECTION <br /> IIVYESTIGAZTON-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZON13�'G C�CK LIST Zoni.ng District: (� -1� ~~ � ~ <br /> Fire Departmenr. (,���c•,V�-it� Post Office: �,;,�� V<<c.,� School District: _�;(>,.���;� � <br /> `_ <br /> Lot Area: Sq.fr. Acres `Vidch Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> - Front (La.�Ce): ._ �1�.'' _�. _ - Riah[Side: Z 4: � �.-_ ' __, -- ' --- _ _ <br /> Rear (Street): I 13� � Left Side: � � � <br /> y�� <br /> Adjacent Scructures: ��-r-�-y���a�) tiVetland: �� r y� <br /> Bullding Heioht: Def. Hgt. �� (� Pea.k Hgt. � <br /> Lot Covera�e: _ �- � <br /> GradinJ: Stafi Approval Date: _ ��"�� (,� By: �- Council Approval Date: — <br /> Septic: Staff Approval Date: — gy; • � . <br /> Zoaing File: � � — Resolution: � -- Resolution Date: • <br /> S�oreland Disc.-ict: +'V�v � <br /> Avg. Setback: Bluff Setback: Lot Coveraoe: � <br /> ' ' Exis[in� Proposed � <br /> Hardcover: 0-?5' <br /> 75-250' . � ' <br /> 250-500' . • <br /> SQO-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> � <br /> REI�ZARKS ('in house): � <br /> z _ � . . <br /> �,'' . 26 <br /> , �Z� . . <br />