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� <br /> CHECK OFF LIST FOR ISSUANCE OF PER1ti.tITS <br /> z �OR OFF�CE �SE ON Y <br /> ADDRESS OR LEGAL: � � � ���'� �`��' , � ��"'`� <br /> PID: . <br /> DESCRIPTIO:V OF YVORK: � `� � �`�" '� '�- '�`'� � ��" ��� �� <br /> , <br /> -------- - --------=------------------------------------------------------------------- <br /> ------------------------------- - <br /> ZONItYGREVIEIVBY: <l/ ?�_ DATEAPPROVED: .S � � <br /> BUILDXNG REYIEW BY: DATEAPPROI'ED: s -Zs -o co <br /> --------------------------------------- ' ----------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: lLtisc. Fees Calculated By: <br /> PERItilIT Yes � 1Vo <br /> PLAN RE VIE LV Yes—� �Vo SE tiVER CONNECTION <br /> STATE SURCH.4RGE Yes—� 1Vo yVATER CO�WECTIO�V <br /> I�VVESTIGATION FEE Yes No _� PARK FEE <br /> SAC Yes IVo � SITE NSPECTIO�V <br /> NLcmber of SAC Units OTHER (specify) <br /> ------------------------------- <br /> ------------------------ --------------------------------------------------------------- <br /> ZO�V.IIYG CHECh'LIST Zar�i�tg District: � I� <br /> Fire Depa1•hner:t: Post Offcce: SclGoof District: ___.. <br /> Got.�(rea: Sq.f't. Acr•es �,G 7 YYidtlt ���� Depth �•��7� �'�C�� ' <br /> S�v-vey Submitted: Yes ✓ No �ate of Scuvey: `t <br /> Proposed Setbacl.s: �-5�" ' <br /> Frortc(-{,-cr/�Zs): � l��" �(.�/ &i.gl�t Side: �� + <br /> r w� � �.C/, � <br /> Rear EStre�t): � �U � G-c�t Side: <br /> Adjncent Su�c�ctcu•es: � , GG'etictnd: v� !f <br /> ?� : ,- <br /> Buildi„g Height: Def. Hgt. ��.� Peak Hgt. � Z <br /> Lot Coverage: l�� <br /> G+'ading: Stc�ff,4pp�'ovctl Date: N��� By: Cot��tci!Ap���ova(DRte: <br /> Septic: Staff,4pproval Date: � BY� W(.� <br /> Zorting File: �� Resolc�tion: # Resolectio�a Da£e: <br /> Sltoreland Dish•ict: �/'f <br /> Avg. Setback: Blc�ff Setback: Lot Coverrge: <br /> Etiisti�ig Pr•apased <br /> Hardcover: 0-7�' <br /> 7.5-2�0' <br /> 250-500' <br /> 500-!000' <br /> Hardcover Vnria�ice Reqccired: Yes No Date of Council�Ippraval: <br /> .REItiIARKS(i�i lzouse): <br /> 3i <br />