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' CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRES S OR I,EGAL: ���.3�'�rC.i, ��,,�••,, �.cA_.-. PID:�7��y � �Z�I <br /> DESCRIPTION OF WORK: ���' <br /> -------------------�-/-�-------------- <br /> ZONING REVIEW BY: r-�.���X��•..� DATE APPROVED: (�- Z ' �i 2 <br /> BIIILDING REVIEW BY: ��.�., �i1n_�v� DATS APPROVED: � Z` S� - <br /> ------------------- -- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCAARGE Yes r/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�� PARR FEE <br /> SAC Yes No_� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------g---- : - C - <br /> ZONING CHECR LIST Zonin District �./� / ( <br /> Fire Department: rv��„rull� Post Office: ���Az�-� School. District: /1/,�G. <br /> Lot Area:_ y�75t� t Width: $b� � Depth: J 9S� fI v� <br /> Survey Submitted: Yes� No Date of Survey: �U ' r 5 � �3 <br /> Proposed Setbacks: <br /> Front (I,+erk� : N�/� Right Side: ►l� � <br /> Rear (��) : � 1���' Left Side: Z I �-►� <br /> Adjacent Structures : (/�T'T)4G6¢t�_ �^letland: _ <br /> Building Height: Def . gt. Peak Hg . <br /> Avg. Setback: Lot verage: <br /> xis ing Pr posed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 <br /> Hardcover Vari nce Requir d: es No Date of cil Approval: <br /> Grading: Staf Approval. D te: By: Cou cil Approval Date: <br /> Septic: Staf ApprovaJ: Da e: BY� <br /> Zoning Fi�e: e olutio #: _ sol.ution Date: <br /> �F.IKARR$ (in ouse) : . <br /> p";, <br /> � <br />