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, <br /> CHECK OFF LIST FOR ISSUANCE OF PE.R1ti,tITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: 30�`� C�As� �Poi�i RA� — <br /> PID: <br /> DESCRIPTIO:V OF Y[�ORK: IVC c�.s R�cS• <br /> -- - ------------ -- - -- - ---------------,-�n--�---------------------------------------- -- <br /> ZOtYINGREVIEy�BY: l�— D.ATEAPPROVED: i���-O ��y <br /> BliILDI1vG REVIEYVBY: DATEAPPR06'ED: ��- t� -��( <br /> --------------------------------- <br /> FEES TO BE CHARGED: �Iisc. Fees Calculated By: <br /> PERNfIT Yes � No <br /> PLAN REVIEGV Yes '� No SEYVER CO�V�VECTION <br /> STATE SURCH.4RGE Yes (� No tiVATER CO�WECTIO�V <br /> INVESTIGATIOtV FEE Yes �Vo ✓ �'f1RK FEE <br /> 11,� <br /> SAC Yes No r/(;��. 1� SITENSPECTION <br /> Nccmber• of SAC U�zits ` OTHER (specify) <br /> -------------------------------------------------------------------------------- <br /> ZO�VI[YG CHECh'LIST Zoriing Disd•ict: <br /> Fire Deparhnent: Post Off ce: Sclaoo!District: ___. <br /> Lot,4�•ea: Sq.Jt. Acres 6Yidtl� Depth <br /> Sc��vey Si�6niitted: Yes o� No Date of Scuvey: � 2� ' <br /> 0 <br /> P�•oposed Setbacl:s: <br /> f�r•a�t(Lal:e): 7 Zf�� L __ Right Sicte: I 2•3 <br /> ' + LetSide: ID.� <br /> f�r(Sh•eet): I�2 f <br /> Adjacent Str��cuu•es: D� '}-p o Y�etlancf: /JI A <br /> po.l <br /> Buifcfing Height: Def. Hgt. Z�1 Peak Hgt. 3 5 <br /> Lot Coverage: ��d <br /> Gradiri Sta A rova!Date: � � '6' b`'� By:(�-fT 1� Coc�nci!�Ipp�'oval Date: � <br /> S� ff PP <br /> Septic: Staff,4ppr•ot�c�!Date: /V/� BY: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Slcoreland Dish�ict: e g7a <br /> Avg. Setback. p � BI�iff Setback: /SI/� Lot Coverage: <br /> Etistirrg Proposed <br /> Harcfco�er: 0-7�' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover 1/ariaftce Required: Yes No _� Date of Co�uacil�Ipproval: <br /> RE1I�IARXS(i�t hotcse): <br /> 31 <br />