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Zoning 'Validation. <br />DaR: ' c~ _ I (o <br /> <br />ONLY <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 tt..OlfllG /~o,~_'~ tr <br /> <br />) New <br /> <br />) Sign <br /> <br />) r~aolitioa <br /> <br />) Other <br /> <br />1. J0,b Description <br />RESIDENT/AL "COMMERCIAL <br />( )Addition ( )Reloe. afion (~Addition <br />( )Al~ration ( )Demoliti~ ( )Ahemt/~ <br />( )Ae~e~o~y ( )Other ( <br /> <br />2. Location of Installat/on <br /> <br />Sob^~,, /9C'.. At. Z~%~ ~/e.. ~^~.~. q,9.~-o~ C;;'~s~''~ . <br />, ... <br />Pdva~ Well ( ) Sp~g <br /> l~Widm ~O ~ ~2.~ A~s ~g,~ Comg ~ Cm~uMtyW~( ) City <br /> <br />3. Contractor Information <br /> <br />I/I him subcontractors, I will him only subcontractors registered with the Comtmction C~traetors Board, [f I change my mind and do him a general contractor, I will contract <br /> <br /> ,, · rs _A.. ' <br /> ( ) I ~m a ~cgistered builder OR th~ a~lfl~zed ~pt~scn~fiw of a x~$istcR~ b~il4r, c <br />A/chltect name: ] Mailing Address: [ Phone-: <br /> <br />4. Fee Schedule <br /> <br />A, YAL1JATION (See "¥aluatlm gehedale" <br /> to deW. taunt vataat~on based ~ <br /> square footagr~,) <br /> (1) Permit Fee <br /> <br /> (2) 3eYo State Surcharge (,05 x Al) <br /> <br /> (3) $iructural Pla~ l~view (,~% x Al) <br /> (4) Fire & Life Safety Plan Review (.40% x Al) <br /> (5) Zonln§ Surcharge. jf applioabl¢ (,05% x A 1 ) <br /> <br />B, Miseellane~ms Fees <br /> <br /> (1) Driveway w/curb @ $7,50 <br /> ('2) Driveway w/o curb @ $17.00 <br /> <br /> (3) Site Plan Review (commercial rely) @ $79.00 <br /> <br /> (4) Additional Plan Reviews orAddendmos <br /> <br /> (6) Rein~peefion Fee @ 1~.5,00 <br /> <br />I hereby ccm.[[y that the above information i~ correct ~ ~ I [nave ~ld and undl~rst~,~ thc Iii formatkm Nq~ic~ to Property OWners about Cemstmetio,x Rcspcmdbili*ies on thc <br /> <br />MC 15-73 Rev, 11/91 <br /> <br /> <br />