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" ��-IEC� p�`F i.�IST FOR ISSUA.I�iCE 4F �'E��'IITS <br /> ' FOR OFFICE USE ONLY <br /> AbDRESS OR LEGAL: �12Z S �lL�$r-"!�� 'O2 <br /> PID: <br /> I�ESCI-�T70� OF WORK: �2-��^AV��Z <br /> ZOY�YG REV�E�ti BY: ----� I v�__ —. D�.TE APPROVED: <br /> �UTLDII�G REVLEtiti BY. �, � , , DA.1�E APPROVED: 5'-7-�? . <br /> FEES TO BE C�-LA,RGED:� Misc. Fees Calculated By: _ <br /> pE�T Yes ✓^ No <br /> PLAN REVIEtiV Yes No �/' SEti�TER COi�l�t-'ECTION <br /> STATE SURCHl�RGE Yes � No �VA"I�RCOi�INECTIO�i <br /> INVESTICrATION FEE Yes No PARK FBE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�G-'C�CK. LIST Zon.ing District: �c� �t-4-/}�� �. <br /> Fire Depart�ecc: Post Office: School District: � <br /> L,oc Area: Sq.f�. <br /> 1�cres Width .L�ep�h ! <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � ; <br /> Fron:(Lake): Riaht Side� <br /> ,�._.._ Left Sid <br /> �'CE3['�J�icctj: <br /> �djaceot Scn:ctures; �Vettand: <br /> Buil�li:.�Hei��: DeT, Hgt, Pea1ti Hgc. <br /> Lot Covzra�e: <br /> Grading: S�afi F�pprov�t Da�e: B;: Cou_ecil Approval Date: ' <br /> Sept;c: Staft Appro�ral D:.te: v: <br /> Zoc�ng F;le: R Resolutioe: r P.esolution Da'e: <br /> Shorel�.^� Dist�:c�: <br /> Av�. Secback: Elu�t Se�bac, : I.o:Cover�Ue: _. <br /> v Eciscio P;oposed <br /> ��d�o�,-e-. 0-%5' - <br /> 7�-2���' <br /> %�Q-SC'0' <br /> �c�-lcc�� <br /> r,.,.� i <br /> - - �' - ---•- -- �n�.i�ril _',n� ^�'vZ: <br /> �_��,.���.',. �f�,_._..._ . ..��. iC'] - <br /> �.r�,��.�.��.� ;L: r:,,,y�c;: <br />