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. . CS�?CX OFFFG�SOr�'�CF�IUSII p�yOF PSR�SITS <br /> ADDRESS OR LEGAL: Z�5 o j�u�rs ��t4�t- A A PID: <br /> DESCRSPTION OF WOR3: Pc�(3�« l�c�RkS 4c-�OC� <br /> ZONING REVIEW BY:----------------------DA2B APPROVED:--�! -ZD -�l Z. <br /> BIIII�DING REVIEW BY s d��.l� l�i�w.�.- DATE APPROVED: y' �-'y?�- <br /> FEES TO BE C3ARG$D:--- ----------M=sc. rees Ca?culated By. <br /> .rR.MIT � No <br /> p� g�IEw Yes� No SEWER CONNECTION <br /> STATE SIIRCRARG�, Yes—� No WA'�'y'=� C�NNECTION <br /> INVESTIGATION FEE Yes • No�� PARK FEE <br /> SAC Yes D� No SITE INSP�CTION <br /> Number of S�C IInits � l� DA�D iN OT�'R (saeci�y) <br /> --------------------------- <br /> -----NouSE --------------------------------------- <br /> ZONING C�� LIST Zoninc Dist_�c�: �/L-1 � <br /> Fire Deaar�..-ient s (�n� <br /> /cC Past �r�-ce: (�nr CR�� �c::oo1 Dis�_ic�: �,eo_ <br /> . <br /> Lot Area:(a(�,�,9��} I .l�t ' +Width:�o� � Av-2 De�th: �S s � <br /> Survev Submi�led: Yes p( No DaLe oT Sur�ey: 3�Z3� 92 <br /> P�o�osed Se=�ac?cs : � <br /> Front (T-.�--�e.) 77 �icnt Side : 1 2s <br /> Rear ( S.t.�eL) : ,SS�� � �eT� s�de: �Y3. 9 7 <br /> � <br /> Ad;acen� St�uc�sres : �SS W2=��-IC: 3�..� � ,,,,�e.Tc.,�,�.�b �ws�= <br /> �ui?ding fie�ght: De=. figt. 2�1 � =eak fic�. 4 G <br /> Avg. Setbac?c: N �G4 LoL Cove_age: <br /> Exis�ing Propc ed , <br /> fiardcove=: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' � <br /> 500-I000 ' <br /> �ardcover Variance Re ire : Y D te of C il Approval: <br /> Grading: Staff Appro al D te: By: Coun il ApprovaZ Date: <br /> Septic: Staf� Appr val Da e: Y= <br /> Zoning Fi1e : = R olut�o ;�: Re olution Dat=: <br /> R;�RRS (in ho e) <br />