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� CHECb OFF LIST FOR ISSUA�'CE OF PERitinTS <br /> _ FOR OFFICE USE OivI..Y . ' . <br /> ADDRESS OR LEGAL: 311 � L � V/N G�Tt�� <br /> PID' <br /> DES CRIPTION OF�ORK: N c t�s i2r S <br /> . <br /> ZO�G REYIEti�BY: D�iTEAPPROV�D: S- 9 - �1 <br /> BUILD�'G REYIESV BY: . D�TE APPROV�D: 5--g -�c . <br /> FEES TO BE CH_4RGED: Niisc. Fees Calcula[ed By: � <br /> PERMIT Yes �/' No ' :• <br /> PLAN REVIEW Yes � No SE�F.R CONNECTION _ <br /> STATE SURCHARGE Yes r/ No �TATERCONNECTION <br /> II�,rVESTIGATION FEE Yes No pARK FEE <br /> SAC Yes v� No SITEINSPECTION <br /> Number of SAC•Units 1 OTHER (specify) _ <br /> __ _------ — <br /> ZOti�IG CH�CK LIST zonin;Dis�icr. LR -1 G- I . <br /> Fire Deparcmenc: �1M��rr� Post Office: W Ay'7.4-� School District: t��E�T"o N 1�c•4- • <br /> L.ot Area: Sq.fc. (�►?� Acres .�� ' R'idch "30 Depth (o`�{ <br /> Surve;Sub�itted: Yes x. No Date of Survey: Y'Z" d � <br /> Proposed Setbacks: � <br /> Fronc(La.ke): �S Right Side: ' 1�� <br /> Rear(Street): /5' I.eft Side: a <br /> Adjacent Struccures: ,¢�c.F��YJ tiVetlaad: /�! I 1� • <br /> guilding Hei�ht: Def. H�t. (�. �� Peak H�t. C9 « <br /> Lot Covera;e: N�� � <br /> Gradin;: Scafi Approval Date: D� 1�-- By: /"-°• Council Approval Date: "" <br /> Septic: Staff Appcoval Da[e: /✓ //1 By: <br /> Zoaing File: # — Resolution: � Resolution Date: • . <br /> Shoceland District: — <br /> Av�. Setback: Blufi Setback: _ L.otCotien�e: <br /> Ezistin; Proposed <br /> Hardcover: 0-75' � <br /> 75-250' <br /> ti0-500' <br /> 500-1d00• <br /> Hazdcover Variance Required: Yes No Date of Couacil Aoproval: <br /> REtiIA.R�iS (in house): <br /> 7 <br />