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CHECK OFF LIST FOR ISSUANCE OP PERIti.tITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: L 35y �'?:�.S� �o w� G�(�� <br /> PID: <br /> DESCRIPTION OF Y�ORh': A or0��i on.I <br /> ----------------------------------- ------ --------------------------------------------------------------------------- <br /> ZONINGREVIEyvBY: D.ATEAPPROVED: � z- Z,- oy <br /> B UILDING RE VIE W B f': DA TE APPR O 6'ED: � Z �.—� - �'7 <br /> ---------------- - <br /> F�'ES TO BE CHARGED: �Iisc. Fees Calculated By: <br /> PERNIIT Yes � N'o <br /> PLA�V REVIEGV Y"es � �Vo SEWER CONNECTION <br /> STATE SURCH.4RGE Yes _� �Vo tiVATER CO�WECTIOIV <br /> INVESTIGATION FEE Yes tVo ✓ PARK FEE <br /> S.�C Y"es No _,� SITE NSPECTIO�V <br /> Nun�ber of SAC U�aits 01'HER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> Z'ONIIYG CHECh'LIST Zor�ing Disd•ict: L2� �r3 <br /> Fire Depa�•hnertt: Post OfJtce: Sc/aool Distric[.• ,__. <br /> Gor.�lrea: Sq.f't. 31a Zt9c7 �lcres .�Z GYidtlt Depth <br /> Scuvey Subn�itted; Yes�Ci _ No Date of Stuvey: �-�� 'U� <br /> Proposed Setbac%s: , <br /> Frortt(Lalce): `Z�_ Rig/it Side: I Z.•`8 <br /> Rear (Str•eei): �Z� Left Side: �o <br /> Adjacent Struct��res: A�"f�� Gc�etland� NI� <br /> Bctildirig Height: Def. Ngt. c�,l�- Peak Hgt. � <br /> Got Coverage: � 13•� <br /> Gi'ctding: Stc�ff,4pproval Date: �Z•2��O`'� By: � Counci!App��aval Dcete: <br /> Septic: Staff,�{pproval Date: �— BY� <br /> Zo�ii�tg File: # b�{-3aG� Resolutio�i: # Resolt�tio�t Dnte: )I'ZZ-�� <br /> Sltoreland Dish•ict: __�/�0� <br /> Avg. Setbnc� 0�i�- Bla�ff Setback: �)� Lot Coverage: I 3•`� <br /> Etisting P�•oposed <br /> HRrdcover: 0-7�' �• <br /> 7�-?�0' '-f`�(��� 30.i <br /> 250-500' <br /> 500-1000' <br /> ffczrdcaver Variafice Reqecirecf: Yes � No Date of Ca�utcil Appraval: ( I�'u "�`'� <br /> RE1'I�IARKS(in hotcse): <br /> 31 <br />