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CHECX OFF LIST FOR ISSIIANCE OF PERMITS <br /> rOR OF�ICy CSE ONLY <br /> Annx�ss oR �c�: �l 5 MZ KIR I-► I�H��Ar�D5 L�1 Prn: Q e -��`1 - Z3 4 � o Q�`� <br /> DESG�tIPTION OF WORR: ,��('�<< <br /> ------------------------- ------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: S- 1 S �Q I <br /> BIIII.DING REVIEW BY: DATE APPROVED: 5-15-�f f <br /> FEES TO BE C3ARG8D: Misc. Fees Calculated By: <br /> , <br /> pEgMIT Yes ✓_� No <br /> PLAN REVIEW Yes_�,. No SEWER CONNECTION <br /> STATE SIIRCHA.RGE Yes r' No�,,C WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No � SITE INSP�CTION <br /> Number of SAC Units OTHER (specif�) <br /> --------------------------------------------------------------------------� <br /> ZONING CSECR LIST Zoning District: L 2 -� � <br /> Fire De�artment: �•� . Post Of�ice: L,L- • Sczool Dist�ict: Q/LONp <br /> Lot Area: 6 �y /�C � Width: ( y U� Dept:�: (��� 19 V� <br /> Survey Submitted: Yes ✓No Date of Survey: �-/�(- �S� <br /> Proposed Setb � <br /> � Front ( x�-• 35� � �ignt Side : � b <br /> N Rear ( St�e�t) �.f �"� Le�t Side: 3 0 �t <br /> Actjacent Structures : �TT'� Wet?and: <br /> Building Height: De�. figt. Peak Egt. <br /> Avg. Setback• Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-5�0 ' <br /> 500-I000 ' !3 ' ��° ��l�° �.� <br /> � <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date:1tJDN� By: "`� Council Approval Date-:---�--- <br /> Septic: Staff Aporoval Date: � BY� ` <br /> Zoning File:� Resolution �: Resolution Date:_ <br /> RBMARRS (in honse) : <br />