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• � . CHECR OFF LIST FOR ISSIIANCE OF PF�2MITS <br /> ' FOR OFFICE• USE ONLY <br /> ADD�tESS OR LEGAL: 3��� �-����,5�'"`f A v� PID: <br /> DESCRIPTION OF WORR: ID�Uc <br /> ------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: �,.,.Qo �Q�w DATE APPROVED: l� -Z S'-�i�-- <br /> _� <br /> BIIILDING REVIEW BY: �,,,� DATE APPROVED: 6 -Z5-�Z- <br /> FE$S TO BE CHARGED: Misc. Fees Ca�culated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes 1/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No� PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------- <br /> ZONI3�iG CH��IC LISfi Zor�ing L�.stri�� : (.iQ-IC.- i <br /> Fire Department: �/V(,t�v�✓� Post Office: /��c� School District: N/� <br /> Lot Area: Width: ,�' Depth: /�/ � <br /> Survey Submitted: Yes pc No Date of Survey: Z-��-�� <br /> Proposed Setbacks: / <br /> Front (�a3re) : `,!?' � Right Side: /v(A <br /> Rear (S�r�et) : �/U � Lef t Side: 1 S�� <br /> Adjacent Structures: �¢rT��u�P Wetland: /V�/�- <br /> Bui�ding Height: Def . Hgt. /�!//�- Peak Hgt. 1U//j-- <br /> Avg. Setback: /(f�jt� Lot Coverage: <br /> Existing Propo�ed <br /> I <br /> Hardcover: 0-75 ' i � � <br /> j <br /> 75-250 ' � / <br /> 250-500 ' � � <br /> 500-1000 ' � � <br /> � i <br /> Hardcover Variance Requir�d: �Yes No Date o� Council Approva].: <br /> i <br /> i I <br /> Grading: Staff Approv�l D�te: By: Cpuncil Approval Date: <br /> Septic: Staff Approva7. Da,�te. By� <br /> Zoning File: # R�so�ution # : Resolution Date: <br /> REMARKS (in housey: <br /> r <br /> i � <br />