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� • <br /> � CHECK OFF LIST FOR ISSUANCE OF PERlI%fITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: z7�5 Kel�ti r4ve <br /> PID: <br /> DESCRIPTION OF yf�ORK: cN r�i o� <br /> ------------------------------------- ----- ------------------------------------------------------------------ - <br /> ZO�VINGREVIEyvBY: DATEAPPROVED: �z-�-oY <br /> B UILDItVG.REV.TEW B : �- DATEAPPRO vED: � z-�- oY <br /> ------------------------- <br /> FEES TO BE CHARGED: Nlisc. Fees Ccciczclated By: <br /> PERctitIT Yes � No <br /> PLAN R.�VIE LV � � �vo ✓ SE LVER GONivECTION <br /> STATE SURCHARGE Yes � tVo tiVATER CO! tWECTIOIV <br /> INVESTIGATIQ�V FEE Yes tVo P�RK FEE <br /> SAC Yes No SI1'E INSPECTIOIV <br /> Nccmber of SAC U�iits OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZO[YIIYG CHECh'LIST Zor�ing District: <br /> Fire Depai•hnent: Post Off ce: Scliool Disn•ict: _„ <br /> Lot.�lrea: Sqft. Acres �Yidtl� Depth <br /> Siu-vey Subniitted: Yes�C_. No Date of Stuveti�: (��`�L- 0l <br /> Proposed Setbacl.s: �q,/Z <br /> Frortt(btt�e): �Oa�� R�r�&t�fe: ZO' '+ <br /> �(Sir�i): S`f� "r Left Side: 8Z� � <br /> Adjacent Structures: i4r�r-�cHEO WetlRncf: N l✓�- <br /> Builcling Height.• Def. Hgt. ��, Peak Kgt. � <br /> Lot Coverage: � �J[. <br /> Gr•ading.• Staff Approvci!Date: — Bv: Cocvicil rlpprovc�l Dc�te: <br /> Septic: StccffAppr•ovn!Dnte: — BY� <br /> Zo�iing File: # — Resoli�tiai: # Resoltitioai Date: <br /> Slioreland Dish•ict: <br /> Avg.Setbnck: �ivifi_ Bla�ffSetbc�ck: N�� LatCover•age: d•1� <br /> Etiisting Praposed <br /> Hc�rdcove�•: 0-7.i' <br /> 75-250' 0•� <br /> 250-500' <br /> 500-1000' <br /> Harcicover Variance Reqccirecf: Yes No_� Date of Council Approval: <br /> REd�lARKS(ire house): <br /> 31 <br />