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�CHEC�, pFF i.IST FOR ISSUANCE OF �'ERIYSITS <br /> �OR OFFICE USE ONLY� . <br /> ADD�tESS OR LEGAL: � 3J i� J3A I G� �� 1�� �(� <br /> PID� <br /> pESCRTP'�ION OF WORK: �1J Ki►�10 ,�-��� (?.�1P��rwv'-►�T -- <br /> ---------- ------------------ <br /> -------- <br /> -- DATE APPROVED: <br /> ZOYI�G REVZEtiV BY: ,u. � '�-�-• — DATE APPROVED; g_c - o� � . <br /> $UTLDI�IG REVIE�V BY: . . . <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> P���T Yes f No <br /> PLAN REVZEtiY � Yes �/ No SE�YER COi�INECTION <br /> STATE SURCHAR.GE Yes �/ No tiVATF�CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No �' SITEINSPECTION . <br /> Number of SAC�Units OTHER (specify) . <br /> �pyT��G CH�CK LIST' Zoaing Discrict: � c'��r-n� . <br /> ' Post Office; Schaol District: � <br /> Fire Department: <br /> Lot Area: Sq.ft. Acres � idth Depth <br /> Survey Submitted: Yes No Date of 5ucvey: <br /> Proposed Setbacks: � ; <br /> Front(Lake): Right Side; , <br /> Rear(5treet): Left Side: <br /> �i'�•3CPIli �'tntriiiT�.:; �jlotl Cj; <br /> J <br /> auil�lin� Heiaht: DeE, Hgt. Pe� �• - <br /> Lot Covera�e: <br /> g Council_Approval Da[e: ' <br /> Grading: Scaff Approval Date: Y� � <br /> � ( . <br /> Septic: Staff Aporov�Date: / V �Y� <br /> Resolut;oa: n esolu�ioa Date: <br /> 7oai.n� Fi1e' � -- <br /> Shorzland District: <br /> p,v;. Se[bac�,: B!�F�Setbac�: L.o:Coverz�e: <br /> �L�t�o Propased <br /> Hzcco��er: G-7�' <br /> 7�-2�0� <br /> 2�`�-����' <br /> ;CO-iC'C'�' <br /> —` ,L`�� �• `�C J=-- O: L"v'--� .—`��_�� _�: <br /> 1—?a-C•�p',2: Vzl�'.. _tiU'.i2;�. �i2� - <br /> �.��L`�a�� �.L�ho��e): <br />