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. � � a,e-�-sc ��,y <br /> � , CHECR OFF��LRSOFFI�CEIUSE ONLY�F P$�ITS <br /> ADDRESS OR LEGAL: I �1 �i �v �C� d�Z cL.�s�--- PID: Z� ,- �/� � �' 7 3 - O� ( � <br /> DESCRIPTION OF WORK: �}�O T��� <br /> ------------------ / <br /> ---------------------------------------- <br /> ZONING REVIEW BY� p�i(��Q�ii•w-- DATE APPROVED: ?�"�'1'`t I <br /> . ( � r�, <br /> BIIILDING REVIEW BY: ����2i�.--- DATE APPROVED: � � <br /> ------------- ----- <br /> FEES TO BE CHARGBD: Misc. Fees Calculated By: <br /> PERMIT � <br /> Yes No <br /> PLAN REVIEW Yes�/� �o SEWER CONNECTION <br /> STATE SURCHARGE Yes / I�o WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------ /� <br /> ----------------------- <br /> ZONING CHECR LIST Zoning District: ��- (/-� <br /> Fire Department: /yr� Post Office: �/(� School District: /'lil,0 <br /> � Lot Area- /.0 r4C ?' Width: /�SO �� Depth: '3Z� '} <br /> Survey Submitted: Yes pC No Date of Survey: 3 "2'�8'$' <br /> Proposed Setbacks: 1 � ,} <br /> Front (�k�) : 2$ Right Side: �� .,� <br /> Rear ( Fs�t) : N�J9 Left Side: �7a �� <br /> Ad jacent Structures : �-��� Wetland: /"ll`� <br /> Building Height: Def. Hgt. � � Peak Hgt. <br /> Avg. Setback: �UO'Q� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Re ired: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: _ By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File• # 16 ZL Resolution #: �-��� Resolution Date: �l- lD-�1 1 <br /> REMARRS (in house) : <br />