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CHECK OFF LIST FOR�SSUANCE OF PE.R1ti�fITS <br /> FOR OFFICE USE O_NLY <br /> ADDRESS OR LEGAL: 3�Z5 C►�sc.o P6 t�►T �-e� <br /> PID: <br /> DESCRIPTIO:�''OF Y��ORR': (�r wto��r2 /Vl/�5 Z=Z ►3��� -- <br /> --------------------------------- ------ --------------------------- <br /> ZOtVINGREV.IEtvBY: D.ATEAPPROVED: /�-9-ay <br /> BUILDING REVIEW BY: DATEAPPROti'ED: J1-� -oy <br /> ---- ------ - --------------------------- <br /> FEES TO BE CHARGED: �tilisc. Fees Cc�lculated By: <br /> PER�IIT Yes _,� ��''o <br /> PLAN RE UIE YV Yes � �vo SEYVER GOtVNECTION <br /> STATE SURCH.4RGE Yes // 1Vo ti�%ATER COtWECTIOIV <br /> ItYVESTIG.4TIO�V FEE Yes tVo PARK FEE <br /> SAC Yes �Vo SITE NSPECTION <br /> Nccniber of SAC U�zits OTHER (specify) <br /> -------------------------------------------------------------------- <br /> ZOrYI�YG CHEC.I�'LIST Zor<i,tg Disu�icr: N o c f <br /> Fii•e Depa,•t,rte�rt: Post OfJtce: Scliool Dist�•ict: —_. <br /> LotArea: Sq.ft. Acres 6Yidtl: Depth <br /> St�rvey Subruitted: Yes No Date of Siuvey: <br /> P�•oposecf Setbacl:s: <br /> Fr•orct(Lal.e): Riglzt Side: <br /> Rear (Sn•eet): Left Side: <br /> Adjacent Struct�u•es: G�etla�ttf <br /> Builcfi�rg Heigltt: Def. Hgt. Peak gt. <br /> Loc Coverage: � <br /> G�•adi,�g: Scaff.4pprovc�l Date: Bv Cocu2cil�lpp��oval Date� <br /> Septic: Staff,�ppr•oval Date: BY. <br /> Zorting Flle: # Resolutiai: # Resolcttion Date: <br /> Sltor•eland Dish•ict: <br /> Avg. Setback: Bla�ff Setbc�c/c: Lot Coverage: <br /> Etisting Proposed <br /> Hardcovet-: 0-7�' <br /> 7.7-Z�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover� Var•ia�ice Reqccired: Yes No Date of Co�crzcil Approval: <br /> ,RE1I�IARKS (isi liouse): <br /> 31 <br />