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�HE�JK OFF i�IST FOR ISSUANCE OF �ERi.�'1ITS <br /> FOR OFFICE USE ONLY� . ^ . <br /> AD <br /> DRESS OR LEGAL: 20(DO � �- N�• �vi vt� C.� W� C I/�w , <br /> PID: Q �- .2�, <br /> DESCRIPTIO�T OF WORK: S � <br /> -- - --- --____ --------------------- <br /> -------------------------------------�--- <br /> ZOYt�i IG REVIEtiV BY: DATE APPROVED: G� <br /> ' DATEAPPROVED; -7-�� •01 � . <br /> $UILDIi�IG REVI7��Y BY: , . . <br /> F'EES TO BE CHARGED:^ Misc. Fees Calculated By: <br /> pEg�T Yes ,/ No <br /> PLAN REVIE��I � Yes � No SEWER COi�1'NECTION <br /> STATE SURCHARGE Yes No ��ATERCONNECTION <br /> INVESTIGATION FEE Yes No �/ PAR.K FEE � <br /> SAC . Yes No �� STTEINSPECZZON <br /> Number of SAC•Units OTHER (specify) <br /> ZONI.vG C�iE.CK LIST Zoaing District: . <br /> Fire Deparcment: Post Office: _ School District: • ' <br /> . L,ac Area: Sq.ft. Acres � Widch D�P� <br /> Survey Submitted:� Yes No Date of Survey: <br /> Proposed Setbacks: . • � 1 �-C'�V►'� <br /> Froat(Lake): R.i�it Side: Un i v�� � <br /> C'/Vi Z <br /> . lS x t �- C�.2c�� <br /> Rear(Street): Left Side: �� S�(�j y.�-c (�t S S�S <br /> v-� � l �- <br /> Adjacent Structures: Wetland: ' <br /> Builclin;Height: Def. Hgt. Pealc Hgt. <br /> Lot Coverage: <br /> Gradina: Staff Approval Date: _ By: Council Approval Date: _ ' <br /> Septic: Staff Appcoval Date: �Y� <br /> t . <br /> Zoain� File: : Resolutioa: � Resolutioa Date: <br /> Shoceland District: Lot Covera�e: <br /> Av�. 5etback: Bluff Setback: _ �- <br /> Ecistino Proposed <br /> Hardcover; 0-75' - <br /> 75-250' . - <br /> 2�0-500' <br /> 5d0-1000' <br /> Ila.�d�over Va-ia_nce Required: Yes No Date of Couacil App�ovz: <br /> F.E1L-�.R�S (in ho�.�e): <br />