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Y - _ -- . �� ��FORSOFFICEIUSU ONCLEYOF Pffi�iITS D�� <br /> ADDRSSS OR LEGAL: G%��c '�'� � PID: I�/>�� yy �� <br /> /LLIN� /�� ��42C.S <br /> DESCRSPTION OF WORS: � __�--------w�---------------- ------------------ <br /> -------------------- i-�---- l q <br /> ZONING REVIE�+1 BY: �y��'��1 DATE APPROVED: — Z�'/ <br /> BIII?�DING RE9'IEf�T BY: �-' DATE APPROVED-------- ----------- <br /> BE C��: � M�sc Fees Calculated By: <br /> FEES TO � /� <br /> PERMIT ����Yes � No � <br /> pLAN REVIEW Yes No SEWER CONNECTION r"" <br /> STATE SURCHARGE Yes No WATER CONNECTION — <br /> INVESTIGATION FEE Yes No_ PARK FEE <br /> SAC Yes No SITE INSFECTION "' <br /> Number of SAC IInits OTfiER (saecify) <br /> — --_----------------- <br /> ---------------------- <br /> -------------------------------- I� <br /> ZONING C�CIC LIST Zonina District: �� / <br /> D , , sc:�ool Distr=ct: � <br /> Fire Deaart.�ent: Post OfL�ce: <br /> Lot Area: Width: �-- Depth: <br /> �._--- <br /> Survey Submitted: Yes� No Da�e of Survey: <br /> ,�r�rvN o� � '�-�l <br /> Proposed Set�ac?cs: <br /> Front tLake) : - Rigat Side: -- <br /> Rear (St+est) : Le=t Side: — <br /> Ad�acent Structures : — We�'_anC: � � /"► � � <br /> Building fieiaht: Def. Hgt. �— Peak Hct. <br /> Avg. Setback: `� Lot Coverage: `�+ <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-�00 ' - <br /> 500-I000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: =- <br /> Grading: Staff Approval Date: � <br /> gy;���� Council Approval Date:�ZZ-9� <br /> Septic: Staff Aperoval Date: By�— <br /> Zonin� File:� Resolution �: <br /> 2. Resolution Date: �9 <br /> ��ARxs (in house) : Vf S�� c t�D �`� � . <br />