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��C�. p�k` LIST FOR.xSSUANCE O'�' ����TS <br /> FOR OFFICE USE ONLY� � <br /> �.DTJRESS OR LEGAL: �� 1� C e. <br /> PID: �' �(r�„ ,ne.c��c:;l.e.l <br /> . , <br /> ON OF WORK: ' � t . <br /> J7ES CRIP`I'X ---------------------------- <br /> _ _ <br /> ----- ---------- �--.. <br /> --_____------- _.—_---------- �'�---- -- - pATE APP�OVED: <br /> �o�G �v��v Bx: G' � <br /> $UILAING REVIE�Y $Y: ' . DATE APPROVED: c�- z�-o� . <br /> FEES TO BE C�TA-�2GEA:`� r Misc. Fezs Calculated By: <br /> PERi�LIT Yes ,/� No <br /> PLAN REVTEtiV � Yes ✓ No SE�YE.R CO�ECI'ION <br /> No `VATER CONNECTION <br /> STATE SURCHARGE `�eS �/ Na ✓ pA�{ FEE <br /> INVESTIGATION FEE Z'eS No � SITEINSPECTION <br /> SAC Yes <br /> OTHER (specify) <br /> Number of SAC�Units ____ ______________________ <br /> ----------------------------- <br /> - --- <br /> ------------------------- <br /> ----------'- � <br /> --------------------- - („_� <br /> �pYT��G CH�CK. LIS�' Zoaing Distric�: � <br /> Post Office; Schaol District: � � <br /> Fire Departmenr. . /' <br /> `') Widch � � Depth 2.�•.S � <br /> L,ot Area; Sq.ft. L S 2- Actes <br /> Survey Submitted: Yes _� <br /> �o Date of Survey: �f <br /> Proposed Setbacks`. ���Side: ��'1O CI��YvtGV�- � <br /> Front(Lake): . h� C�c�,�_ � <br /> i. W��`� <br /> P.ear (Street): ��� �Side: Y1 a C���'�9 _ <br /> �Pnr Srnirttirc;: V�Zt.. �Varla�r�; � ZV <br /> r�l�]3...,..- - <br /> r� / �/1� <br /> auildin� Hei�.[: DeE. Hgt. � � 2 __ <br /> �e3��'iot- Jv <br /> Lot Covera�e: ��• � �� <br /> Gradin�: Staff Approval Date: <br /> ��, By; CouncL Approval Date: ' <br /> Szptic; Staff Aporov� Date: / � � �Y' �s-L-�� �'rAq'e' ��k-�"Shw�2' <br /> f Z�s 2a'h W�c�c <br /> Resolutioa: R �� Resolutioa Da'e: � (f � � zx�s��r'( <br /> zoa�n� F��� � U(a-3�Zi � <br /> Sho�etz��d District: ��Cove2�e: I�.� �v <br /> • Av�. Setbac'r:: �;�'Ml,�v� �Ca= El��f;Setback: �1�.. <br /> . �zi��Q Proposed <br /> H�ecover: G-7�' ---�-}�` j_ <br /> '1�-2�0' --�--�-� SV <br /> 2�G-��.r�' <br /> �Ci�-iC��' <br /> iY J. a.?- V \;V .��_-,. V-' ��..lJ'',.'__.._ ;—_�_. —� _9�LI_�k� <br /> ����:LO'•�'C' V�.�:..�. _ ?til:'.:Z��. � � <br /> �-��L��� �Ln hot�e�: ��..�n�s��n�� V-t�� C/-1�1� � �V1S�-G1WI C� (�'C'NYIC�1l�,�S <br /> �._._ <br /> � � �� <br />