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' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br />�iDDRESS OR LEGAL: s ZJ � �U✓�-��r�'� � pID: <br /> DESCRIPTION OF WORR: R�t �-�E� ��� <br />-------------------------- -------------- <br /> ZONING REVIEW BY:_ _ DATE APPROVF.D: S-/7- f 3 <br /> BIIILDING REVIEW BY: DATE APPROVED: S"�- � �_ -`i� <br /> ------------------- ------ <br />��S Z.p Bg ��- Misc. Fees Calculated By: <br /> PERMIT Yes �-'� No - <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> �TATE SURCHARGE Yes � No WATER CONNECTION <br /> ":WESTIGATION FEE Yes No � PAR.R FEE <br /> �,C ' Yes No ✓��- SITE INSPECTION <br /> �umber of SAC Units OTHER (specify) <br />-------------------------------------------- <br /> 'ONING CHECR LIST Zonir�g District: <br /> � <br /> � � ��� � �� ',�ch �� Di ri�C�: <br /> ire Department� � i� � ost ,�bffic : � ' � <br /> � �" �- ��� � � <br /> .ot Area: � �--='Width:� ��'�P'�n= <br /> � <br /> Survey Submitted: Yes�_ No Date of Survey: <br /> �----__b►'� t=�Ll� <br /> ?roposed Setbacks: <br /> Front (�-a-�c�� : h1�11 Right Side: <br /> Rear (�*') � /l��/`}� Lef t Side: <br /> �5 AN►„G tA S S 1-+�C2� <br /> Adjacent Structures: �4-�7�-�z.� Wet and: ��� <br /> \ <br /> 3uil.ding Height: Def. Hgt. ' P ak Hgt. <br /> �1. <br /> �<�g. Setback: L Cov�rage: <br /> Exist' g Propo�sed / . <br /> ; <br /> � � �'� � � <br /> ':ardcover: 0-75 ' f � <br /> � <br /> 75-250 ' % � <br /> , , <br /> 250-500 ' /�� / <br /> � : j �_ ---_---- <br /> 500-1000 ' � i <br /> �:ardcover Varian �e �equirec�: Y�s o�� Date of C�ouncil Approval: <br /> 9 , <br /> �_�rading: Staff App�oval Da��te: i� B�: Co�ncil. ApprovaJ. Date: <br /> , <br /> � i � , <br /> i <br /> �eptic: Staff Ap�roval Da�e: i By:_ _ <br /> � <br /> Zoning File:� �es lutio � #: Resol.ution Date: <br /> REMARKS (in h¢nse) : ` <br /> ( ; � <br />