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, � �CT3ELECK OFF i.IST FOR ISSUANCE OF �E��IITS <br /> FOR OFFICE USE ONLY� . <br /> �,UDRESS ORLEGAL: ,�C,Y� �•� (?- � ��``�;+�`� <br /> PID' <br /> pE5CRLP'ITIO�T OF WORK: ►'Z,�m,�✓��L- <br /> ZOYING �2EVIE�V BY: ^_ r1 �____� pATE APPROVED: . <br /> BU]ZTJING REYLE��Y BY: ' DAT'E.�PPROVED; 1�- �- o� <br /> �`EES TO BE C�-TA�.GED:^ Misc. Fezs Calculated By: <br /> p��y�T Yes ✓ No <br /> PLAN REVIE`Y � � Yes � No SE�V�R C��]NECTION <br /> STATE SURCHARGE Yes �/ No tiVATERCONNECTION <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC �es No r/ SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> �,p�Ts�G CT:i�CK LIS�' zoaing Discrict: �Vp G E-1/�lv6� , <br /> Fire Deparcment: Fost Office: School District: � <br /> Lac P.rea: Sq.ft. Acces � idch Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: . : <br /> Froa[(Lake): Rioht Side: <br /> P.ear (Street): Left Side: <br /> r�l�'3CP�� Srnir71rz5; ��1atl �j; <br /> � <br /> Buildin� HeiGht: DeF, Hgt. Peal:h �• <br /> Lot Coverage: <br /> Gradin�: Scaff Approval Date: By: Counc�Approval Date: ' <br /> , <br /> Septic: S�aff Aporoaai Dace: � '�� �� aY� �s1 <br /> Zoa�ng File: � Resolutioa: R Resol�tioa Date: <br /> 5horzlznd District: <br /> Av�. Se[bac�;: B!t!F�Setbzc�: L.o:Coverz�?: <br /> �t;5��o Propased <br /> H�eco��er: G-��' <br /> 7�-2�4' <br /> Z�U-����' <br /> ���Q-�:L`V"� <br /> {--rarC[.�',;Z. � '`,":_._.�? ���L".:2�: :?� ,�� �_._ 0: ��'�__.. n�_ .. ��: <br /> F.��L���� �.Ln ho��e): <br />