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, <br /> � <br /> CHECK OFF LIST FOR ISSUA1vCE OF PE.R1ti�tITS <br /> FOR OF'FICE USE ONL Y <br /> ADDRESS OR LEGAL: 3Z-Z S �A � � '�'� <br /> PID: <br /> DESCRIPTI0IV OF Y[�ORK: S o c.42� �� � N� `� S L�5°"` a""` _ -_ <br /> -- - -------------------------------- ------------ <br /> ZONItVG REI�IEY[�BY: DATEAPPROVED: i� � s �� y <br /> B UILDING.RE VIE�3�B Y: DA TE APPRO 6'ED: , o -�9 - �y <br /> ------------------------------- <br /> FEES TO BE CHARGED: 1�'Iisc. Fees Calctciccted By: <br /> PERNfIT Yes ✓ �'�o <br /> PLANREVIEGV Yes �� �Vo SEYVER CO�V�VEGTIO�V <br /> STATE SURCH.4RGE Yes � 1Vo tiT%ATER GOtWECTIO�V <br /> INVESTIGATION FEE Yes No PARK FE'E <br /> S:�C Yes !Vo SITE NSPECTIO�V <br /> Nat�izber• of SAC U�iits OTHER (specify) <br /> -------------------------------------------------------------------------------------------- <br /> T.O�VIIVG CHEC.F�LIST Zor�i�ig District: N v CG�fr� <br /> Fire Deparhnerrt: Post Off ce: Sclaoo!District: ___. <br /> Got,�t�•en: Sq.Jt. Acr•es GYidtic Deptli <br /> Scuvey S«bruitted: Yes No DRte of Stuvey: <br /> Proposed Setbadcs: <br /> Frortt(Lal;e): Right Side: <br /> Rear•(St�•eet): Left Side: <br /> Adjace�lt Strc�ctures: G�etlaizd: <br /> B«ilcfiiTg Height: Def. Ngt. Peak Hgt. <br /> Got Coverage: <br /> Grading: StaffApproval Date: By: Council Appraval Date: <br /> Septic: Stnff,�ipproval Date: BY'� <br /> Zo�tirlg File: # Resoli�tia�: # Resoltttiola Date: <br /> Shor'eland Dish•ict: <br /> Avg. Setback: Blc Setbacic: Lot Cover•age: <br /> Eti ing Proposed <br /> Hardcover: 0-7�' <br /> 75-Z.i 0' <br /> 250-500' <br /> 500-1000' <br /> Nardcover Variaftce Reqiiired: Yes o Dnte of Council Approval: <br /> RE1I�IARKS(i�i liouse): <br /> 31 <br />