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_ CHECh' OFF LIST FOR ISSUA��'CE OF PERitiIITS <br /> _ FOR OFFICE USE Oi�L.Y � . <br /> ADDRESS OR LEGAL: s c�� �-�v�vn.c2 P As5 <br /> PID: <br /> DESCRIPZ'ION OF ti'VORK: ,�-R-�,�t �..- �.., { <br /> . <br /> ZOtiZ\'G REV�ti� BY: DATE APPROVED: ZD- �-S-o� <br /> BUII�DPi tG REY��BY: DATE APPROVID: [o- Z 5�o� <br /> FEES TO BE CH.4RGED: Nlisc. Fees Calculated By: <br /> pERN1IT Yes �/ No : <br /> pLAN REVIEW Yes �/ No SEWFyR CONNECTION <br /> STATE SURCHARGE Yes _� No WATERCONNEG"TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOti`L,IG C�E.CK LIST zonin�Dis�icc: N c� cr�-A�� P _ �. <br /> Fire Department: Post Office: School District: � � <br /> L,o[Area: Sq.ft. Acres idth Depch <br /> Surve; Suba:itted: Yes No Da[e of Survey: <br /> Proposed Setbac!cs`. <br /> Fron[ (Iz'.{e): Ri�hc Side: <br /> Rear (Stree[): Left Side: <br /> Adjacent Structures: �Vet d: • <br /> Buildin� Hei�hc: Def. H�t. Pea'. H?t. <br /> Lot Covera�e: <br /> Gradin�: Staff Approval Date: B : Council Approval Date: <br /> Septic: StafE Approval Dace: �(�—�$-pd B � <br /> Zoning File: n Resolution: n Resolutioa Date: . <br /> Shoceland District: <br /> Av�. Set�ack: Blufi Setback: LotCo�•en�e: <br /> E���? Proposed <br /> Hardcover: 0-7�' <br /> 75-250' -- <br /> ti0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Counci� Approval: <br /> gEtiL�.RKS (in house)• <br /> 7 <br /> � _ <br />