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, <br /> CHECK OFF LIST FOR ISSUANC.� OF PER�ti.tITS <br /> FOR OFFICE USE ONL� <br /> ADDRESS ORLEGAL: Z� �� C'r45�o .�o�"fT � <br /> PID: ' <br /> DESCRIPTIO:Y OF Y�O,RK: Gv�=w �-S <br /> ------------------------------- <br /> - - ---- -------------------------------------- <br /> ZOtYINGREVIEtiI�BY: D.ATEAPPROVED: 3-� - �S � <br /> B LiILDI�VG RET�IEW B : DATEAPPR06'ED: �- � - 05" <br /> ----------------------------------- - <br /> FEES TO BE CHARGED: hlisc. Fees Cc�lcccf�cred By: <br /> PERttiIIT Yes ✓ No <br /> PLAN REI/IEGV Yes r/' No SEWER GONNECTION <br /> STATE SURCH.4RGE Yes � t�Io LVATER C0IWECTIOIV <br /> It�IVESTIG.4TION FEE Yes t�Io� P�(RK FEE <br /> Sr�G Y"es !Vo � SITE NSPECTIO�V <br /> Niunber of SAC Units �rZ-'�-'� �''�'"— OTHEl.�Z (specify)� <br /> ----------------------------------------------------------='�=�"�-----------f�-�-L�:_.�---=-f-'�z1_E�---------- <br /> 2'ONIIVG CHECh'LIST zauing Disc��icc: t_2 • r C <br /> Fire Departrnerrt: Post Office: Sc(aool District: __.. <br /> �oo (�Arul�e{. � s(J-e�ut <br /> Lot,�.r•ea: S r. 2d,Sb t Acres • y� ��idtli �io C� �5� Deptlt <br /> �1�f� — <br /> Sicrvey Subfititted: Yes�_ No Date af Scuvey: 7' 2-3'd`� <br /> Propasect Setbacks: i N <br /> F��orzt(Lalce): �11 � Rig1�t Side: � �•� <br /> Rear(St�•eet): 3 a' Lefr Side: f 3 1 5 <br /> Adjncent Struct�u•es: /�)� G[�etland: � 5�� <br /> B«ildirrg Heigltt: Def. Ngt. 7-1 Peak Kgt. �3.S' <br /> Lot CoverRge: U � <br /> Gr•ncfing: Staff.4pprovccl Date: •�� � T� By: 3�Y-a5 Cotu2cil,�Lpp+�ovnl Date: '- <br /> Sepric: Staff,�lppr•ova!Date: N �'� BY� <br /> Zo�ziitg File: # D y- 3�5 Z- Resolc�tio�t: # Resoli�tia:Dnte: Z- Zg-b S <br /> Sltot•eland Dish•ict: <br /> Avg. Setback: o•1� _ Bluff 5etbacic: N�✓i Lot Cover•age: <br /> Etiistin,� Praposecf <br /> Hnr•cfcavel•: 0-7�' d b <br /> 7S'ZJO� ��.11 <br /> 250-500' ! <br /> 500-1000' <br /> Hardcover Vm•iartce Req��irect: Yes No Ddte of Co�«ticil�pproval: <br /> REMA.RKS(in liotcse): <br /> 31 <br /> � <br />