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e P CHEC� OFF LIST FOR LSSUA1ti7CE OF PER1'IITS <br /> FOR OFFICE USE ONLY <br /> �DDRESS OR LEG:�L: :� �7 J��; :`�- I�� e c- �� �c'c•-PID: �'� -'� - 1 I � . �-t �� � 1 ..�- �'�<'v / <br /> DESCRIPTIO\ OF ��'ORF�: �� ��-<� c , �� ������ �'���� <br /> ZO\�G REti'�V BY: DATE APPROVED: �/- Z`l-f,� <br /> BtiII.DL\G REti�tiV BY: DATE APPROVED: y- zc.t-'�'G <br /> FEES TO BE C�-L�RGED: Misc. Fees Calculated By: <br /> PERti1IT Yz5 � Vo <br /> PL.��t REVIE�V Yes �•—� vo SEtiVER CONivECTION <br /> STATE StiRCH:�RGE Yzs v No �TATER COi�NECITON <br /> INVESTIG.�TIO�i FEE Yes No `-- p4� �E <br /> SAC Yes No `-'' SITE 1NSPECITO� <br /> Number of S�C Unics OTHER (specify) <br /> ------------------------ <br /> ZONl�G CHEC�i LIST Zoning Discrict: IQR' �p Shoreiand Discrict : N o <br /> Fire Deparcmenc: ��— Post O�ce: L�-- SCf100I DISLRCL: U�'�NU <br /> Loc Area: Sq.ft. Ovn C-N-+4��1?�+cres -- Width '— Dep�h <br /> Survey Suomicted: Yes � No Date ot Survey: �- I'Z-$5 ���' �''�� <br /> Proposed Setbac!cs: � <br /> Fronc �L�ect: N(A Right Side: /S� { <br /> Re:.r (�z): I°l(o ��t Left Side: � SS , 1 <br /> Adjacent Structures: I�?'TY-�GH'L"� ��etland: 'SO � '� <br /> Buildin� Heis.hte Def. Hgt. !� •�- Peak H;t. C�• l�. <br /> Avg. Secbac!c: Bluff Setbacic: Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-Z50' <br /> 250-�00' <br /> Sa0-1000` <br /> \ Hardcover Varia.uce Required: Yes No Dace oi Council �pproval: <br /> N1,A, Gradin�: StarF �.pproval Da[e: By: Council :�oproval Da[e: <br /> fy� <br /> � Se�cir. Scaff �.pproval Da�e: B`'� <br /> Zo�o File: T Resoiution: ,� Resolution Date: <br /> RE:ti�R-bs (� house): <br /> '�. <br /> ,� <br /> 26 <br />