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y � <br /> CHECK OFF LIST FOR ISSUANCE OF PER1tiIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y/9'S ���GHwo�/J /�A� <br /> PID: <br /> DESCRIPTIO:V OF YVORK: fFTH i���z <br /> ---------------------------------------------- ------------------------------------------------------------------------ <br /> ZONINGREVIEGVBY: DATEAPPROVED: � •`/-�S <br /> BUILDItVG REVIEW B : ,,�...-- DATEAPPR06'ED: /-�f-o� <br /> ------------------------- <br /> FEES ?'0 BE CHARGED: tL�Iisc. Fees Cc�lcaclated By: <br /> PERI�IIT Yes �/ No <br /> PLAN REVIEGV Yes �// tVo SEWER CON�VECTION <br /> STATE SURCH.4RGE Yes ✓ �Vo tiVATER GOtWi ECTION <br /> INVESTIGATION FEE Yes tVo �/' PARK FEE <br /> S�L C Yes No c/ SITE NSPECTIOtV <br /> Ncu�zber of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZO�VI[VGCHECh'LIST Zo+iir:gDistrict: N� Gh�►c.D <br /> Fir•e Depa,•hnerrt: Post Of ice: Scf►ool Disn�ict: _.., <br /> Got.,=lrec�: Sq.f't. Acres WiddT Depth <br /> Sav-vey Subrnittecl; Yes No Dczte of Scr�veti�: <br /> Proposed Setbacl.s: <br /> Frorit(Lc�(ce): Right Side: <br /> Rear•(Sh•eet): Left 5ide: <br /> �ldjncent Structures: bf/etla d: <br /> Building Height: Def. F{gt. Peak Kgt. <br /> Got Coverage: � <br /> Grncfing: Staff Approval Date: By: Council Approvnf Date; <br /> Septic: StnffApproti�al Dc�te: BY� <br /> Zoning File: # Resolutio��: # Resolutiori Date: <br /> Sha•eland Dist�•ict: ���� <br /> Avg. Setbc�ck: Blc�ff S'etbnck: Lot Coverage: <br /> E�isting Proposecf <br /> Hardcover: 0-7.i' _�_. <br /> 75-250' <br /> 250-500' _� <br /> 500-1000' � <br /> , � <br /> � <br /> Hardcover Variance Reqc�irecf: Yes Na Date of Cosuacil Approval: <br /> RE1I�IARKS(iit house): <br /> 31 <br />