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Zoning Validation , .., <br /> <br />~: Y' l ~ -" ~'~ <br /> <br />Phone ~-S147 ISJde; ~ Side: <br /> <br />BUILDING [] MO]lB LIE HeM[ <br /> <br /> ,0,,: .......... . .... <br />L 0 ~ Lot ~pth:: Acres Irreg Lm/~ Corner' <br /> <br />Height of Buitdingr <br /> <br />? <br /> <br />AIt~r:; 0 <br /> <br />INo Stories;: <br /> <br />Mobile Home Mobile Home <br /> <br />AddJti~: ~ Demo:: [] Tach <br /> <br /> h ~ <br />Relocation:: [] OCC, O g. [] Review: <br /> <br /> ' ,~q, Ft, Main Floor:; SCI,, Ft, 2nd Floor: <br /> I # ~eeme~ J occ.pa~yl <br /> <br />Use 0f I~uilding <br /> <br />RES [Z/' <br /> <br />COM 0 <br /> <br />Proposed ,~eptic <br /> Previ<~us Site Evaluation <br /> <br />Te~t ~les ~ady: <br />~lf ~JJ ~he~ ~ <br />~xist~ng Septic ~ystem: <br /> <br /> ~xist~g Drainti~d L~g~:: <br /> <br /> Date Tank ~mped:: <br /> <br />Propes~.d_l~edr0oms, % <br /> <br />EXiSting Bedrooms:: <br /> <br /> // <br />OTHER PERMITS REQUIRED BY THIS D~PT,: PLUMBING~ MECHANICAL, ELECTRICAL <br />MO <br /> <br />8q, Ft, Garage / Other' <br />OCCupant Lo~d / W~ter Supply, <br />y <2 ,'-~,.- <br /> V~luation' $ / ' ~.._ <br /> <br /> Bldg, Fee:; $. <br /> Mobile Home Fee' <br /> <br /> State Surcharge <br /> Plans Che~k Fee:: <br /> Site Evaluation Fee,, <br /> Septic Permit Fee, <br /> DEQ Surcharge! <br /> <br /> City Fee:: <br /> <br /> <br />