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' ' ' CHECK OFF LIST FOR ISSUANCE OF PERs1�IITS <br /> _ FOR OFFICE USE ONLY . � . <br /> ADDRESS OR LEGAL: 1 I 5(7 (...Y/�AN A�L <br /> PID• <br /> DESCR�TION OF WORK: N�,tN �2GS - <br /> . <br /> ZO�+Ttii'G REYII��Y BY: DATE APPROYED: I�-2 Y-o 0 <br /> BUILDIYG REYIE�BY: DATE APPROYED; !c9-Z�!-��a . <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pERMIT Yes _� No :. <br /> pI,AN REVIEW Yes �/' No SEWER COYNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No r/' pARK FEE <br /> SAC Yes No ✓ SITEINSPECITON <br /> Number of SAC•Units OTHER (specify) <br /> ZO�'L�IG CH�CS LIST Zonin�Disuicr. R 2- 1(� . <br /> Fire Departmenr. (i4 c.L Post Office: (,0�6 L41�C•�? School District: U�Z.ON a � <br /> Lot Area: Sq.ft. Acres � Widch Depth <br /> Surve;Subu:itted: Yes_ C� No Date of Survey: j.,p - I c� � 00 <br /> Proposed Setbacks: <br /> Froat(La.ke): l�� � t Riaht Side: � 3�� <br /> Reaz(Screet): 395� }' Lefc Side: 3�`_ <br /> Adjacent Structures: /�/�� Wetlaad: 1C�O� • <br /> Buildin�Height: Def. H�t. Z 7 � Peal:Hgt. 31�� <br /> Lot Coveragz: �l�A <br /> Grading: Scaff Approval Date: (D • 2�{, t�o By: o��. Council Approval Date: <br /> Septic: Staff Approval Dace: 10-L''l -� By: �• P <br /> Zoaing File: t� — Resolution: � — Resolution Date: — . <br /> Shoceland District: N a <br /> Av�. Setback: Blufi Setback: LotCovera�e: <br /> E���D Proposed <br /> Hardcover: 0-75' ---- . <br /> 75-250' <br /> 2i0-500' <br /> 500-1000' - <br /> Hazdcover Variance Required: Yes No Dat� of Couacil Approval: <br /> REI�L�.RKS (in house): <br /> 7 <br />