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. • ' � <br /> �CHEC� OFF i,TST FOR ISSUANCE O� PERMITS <br /> FOR OFFICE USE ONL�.''� . . " <br /> ADDRESS ORLEGAL: 15 �0 SPr4++�s Av�' <br /> PID: <br /> �DESCR7PTIO�i OF WORK: CZ.�v►��r�- �r��v�'e�. �u�- a^""'' <br /> -------------------------------i------------------ <br /> ZO�IG REVZEtiV BY: -----��. -_____... DATE APPROVED: <br /> gUILDIl�IG REVIEtiV BY: . � . . DATE.A.PPROVED; � y-� a 7 <br /> _ _�..�_ ---=-------_— --____— ---=-----------------------=------------------------------- <br /> FEES TO BE CHARGED: / IMosc. Fees Calculated By: <br /> pEg�T Xes ✓ <br /> PLAN REV�Etij1 � � Yes �/ No SEti�TER COVNECTION <br /> STATE SURCHARGE Yes _��Na WATERCONNECTION <br /> INVESTTGATION FEE Yes No 1� PARK FBE <br /> SAC Yes I�o _� STI'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> �p�Y�YG CKE.CK. LTST Zoning District �V v c ��"�� . <br /> Fire Depar[ment: Pos[Office; School District: � <br /> L.ot Area: Sq.ft. Acres Width Dep��i <br /> Survey 5ubmitted: Yes No Date of Survey: <br /> Proposed Setbacks: . ; <br /> Front(Lake): " Ri�t Side . <br /> Rear(Strezt): Left Side� _ <br /> Adjaceot Structures: �Vetland: <br /> auil�lin�Height: Def. Hgt. Peak Hgt. _ . ' <br /> Lot Covera�e: <br /> Gradino. Scaff Approval Date: By:� Council Approval Date: ' <br /> Szptic: Staf[ Approval Date: By: <br /> Zoain� File: � Resolution: n Resolution Dacz: <br /> Shorelas.d D;strict: <br /> Avg. Setback: BluEf Se ack: L.ot Caverage: <br /> Eusti�a Proposzd <br /> Hzdcover: 0-75' <br /> 75-250' <br /> 2�Q-500' <br /> �00-l OC�J' <br /> �. <br /> TJ�_� n� �'n�inril An^r�VZ. <br /> ri�"�:CO�.'.= Zi�i?i:C: L:�'..^SL'ii�C: 'i z5 . ' ' � �� — ---- <br /> F.E:�L�RFiS (in hou�e): <br />