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�CT3ECK pFF' �.IST FOR ISSUANCE OF �.'E�'VIITS <br /> FOR OFFICE USE ONLY� . <br /> p,DDRESS QR LEGAL: ��.� � �l� � GU i��"�• �� <br /> PID: <br /> 37E5 CRIP'I.�O,t OF WORK: ��GK t��P cAc��n�,-v�!� <br /> ------------ ----------___ <br /> -------------------- <br /> --------------------------- <br /> ZOY.T�G REVIE�V BY: DATE APP�OVED: � 'F� ' 7 <br /> BU7ZAING REVlE�V BY: ' `�,.— . . DA.TE.APPROVED; 8 - �3• �7. <br /> �EES TO BE CHARGEA: Misc. Fezs Calculated By: <br /> P���T Yes � No <br /> PLAN REVIEtiV � � Yes —� No SE�YE.R COi�INECTTON <br /> STATE SURCHARGE Yes � No �VAT`F.�RCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) . <br /> �pY��y�G CH�CK LIST Zoaing District: . <br /> Fire Dep3rtmenc: Post.Office: School District: � <br /> Lot Area: Sq.ft. Acces Widch Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> �roposed Setbacks`. � � \ d� � <br /> RiQ t Side: x / <br /> Front(Lake): � . <br /> � Un,� � ��S <br /> P.ear(Street): Lef�Side: � <br /> o� ` ��� ���,►�S� <br /> Ad;a.!`.P�f Srnirr7r�.5; 4�1ar12T1d; � �� <br /> Suildin� Hei�t: DeE, H�t. Peal:ho�• <br /> � a'�� <br /> Lot Covera�e: <br /> GradLn�: Staff App:oval Date: By: Council Approval Date: ' <br /> Septic: Staff Aporova! Dzce: � �Y� � � <br /> 7oain� File: � Resolut:on: rt Resolutioa Da:e: <br /> Shorelznd District: <br /> Av�. Se(bzcr;: B!�fi Se��ack: Lo:Cove2.�e: <br /> �`S��a Proposed <br /> H2�eco��er: G-7�' <br /> 7�-2�4' <br /> 2�0-����' <br /> �;���-i C�'^�' <br /> n� a�' �y' ��n J" l.'. 1..V'_'i. ,�'.._�� �i. <br /> j-ia'C��O`:2' V Z'._...:.2 _ _:;1:'._2 . '2� ' - - <br /> L'��L-`�:-�� rLn ho��e): <br /> �. . <br />