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_ -- _ , , C�Cg OFFFOISOFF�CEIUSII oNCLEYOF P�RMITS <br /> L � � � � <br /> ADDRBSS OR I.EGAL s � � ' �;'� PID: <br /> �, <br /> , <br /> DESCRIPTION OF WORS: � �` -� <br /> -------------------------------------------------------- <br /> ------------------ �� <br /> ZONING RE'VIEW BY: OJ,�,r,��� DATE APPROVED: � 'Z3 ` <br /> BIIILDING REPIEW BY:� DATE APPROVED: 7- 2 3 -�l <br /> -------------------- --- <br /> FEES TO BE CHARG�: Misc. Fees Calculated Bv: <br /> pERMIT Yes v No <br /> PLAN REVIEW Yes—t� No SEWER CONNECTION <br /> STATE SIIRCHA.RGE Yes�� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�� PARK FEE <br /> SAC Yes No � SITE INSP�CTION <br /> Number of SAC Uni�s OTfiER (specify) <br /> �ONT?dC- C3ECK LIST -----------------Zoning Dist_ict------N�C� <br /> r ,-� �ost o��ice- /� ' scnool Dist�ict: N <br /> Fi�e Depa_ �:nent: C_ <br /> Lot Area: C t�� Sb�4� Width: � Depth: <br /> Survev Submitted: Yes� No Date oi Surve��: 5��� -�2( <br /> Pronosed Se��acks . � <br /> ^ � (Lake i `'7.� `� � �� � <br /> �' <br /> -- ��� <br /> Rear ( S'- �t N�/� �e�t Side : (c�p r <br /> �re_ ) <br /> Ad jacent Structures : /¢7T7�-L�Y�CY We�'_and: /lJ�/�- <br /> Building fieight: Def. Hgt. �/� ��zk �9�• /`�1 � <br /> Avg. Setback: � •1�- DP�1 YYtcKC (,Lot Coverage: N/� <br /> EX1S�1I1C� P'_'ODOS?Q <br /> Hardcover : 0-75 ' <br /> �s-25o � Z� o Z3•6 � <br /> 250-�00 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Sta�f Approval Date : ^ By: Council. Approval Date: <br /> Septic: Sta�f Aoproval Date: BY� <br /> Zoning File : = R lutyo n: Resolution Date:__ <br /> R:EMARRS (in house) : <br />