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. �CHEC]K O�`F i�IST FOR ISSUANCE O�' �E�'�TS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: i �?C� LG•e'�'-( ��f1�r� . <br /> PID: <br /> T)E5CRIPT'I�� 4F WORK: IVevv � <br /> ------------------��------r------ <br /> ------------------------ <br /> _-------- __.."__ �^ � G r <br /> ZO��TG REVIE�V BY: V�l�I Gl,� l� G DA�APPROVED: -� t - o <br /> �UII�DING REVIEtiV BY: DA' <br /> FEES TO BE CHARGEA: r ` Misc. Fezs Calculated By: <br /> Yes No <br /> PERI.tiIIT SE�VE.R CONNECTION <br /> PLAN REVIE�V � Yes �/ No <br /> STATE SURCHARGE Yes _1� Na tiVATE-RCONNECTION <br /> INVESTIGATION FEE Yes No f PARK FEE <br /> SAC Y'es No _� STT'ELNSPECTION <br /> • OTHER (specify) <br /> Number of SAC�Uruts P�+��#���3 �(• �q -?Z <br /> ---------------------------------------- <br /> ZOYIi,IG CT.i�CK LIST Zoaing Districc: � � � �� • <br /> Fire Dep�ent: <br /> Post Office: Schaol District: � � <br /> i � � <br /> � �� � �� Width � � ���J Depth <br /> Lot Area: Sq.ft. ' �� Acres <br /> Survey Submicted; Yes � <br /> �o Date of Survey: Z � G� <br /> Proposed Se[backs`. � �L f � l; y'�G''� � f I <br /> Fron[(Lake); F,�Q"t Side: <br /> � <br /> � f� � <br /> Rear(S[reet): �� L�Side: �� <br /> �Pnr Rrni ��rr : tiVet�?1��: ��� <br /> r`�.dj3...,... C.__C_� <br /> 2� �' �.� � <br /> Buil�ling Hei�t: Def. Hgt, � Pea.k Hgt. � � <br /> Lot Covera�e: I �C � <br /> � fi'� 6� ��� �u��Cduncil A roval Date: � �� d' <br /> GcadLng: Scaff Approval Date: BY� � PP <br /> Szp�ic: StafE Approv�! Dace: �Y� � <br /> Zocin� File: � �l <br /> � Resolutioa: R__. Resolu�ioe Da.e: <br /> Shore,��d Dist:icc: V p'1 ��7 � ,?: � v�U <br /> Av;. Setbac'r:: <br /> B!uff Setback: � '� �'"� L.ot Coverz�_ <br /> E�st�g� P;opo�ed <br /> � � <br /> Ha�dcover; G-7�' le` y�j�lt�' <br /> 7�-2�0' �� ���/,jy <br /> 2�0-�CrO' �t� � <br /> �CO-lOCO' � <br /> ^ A ;,, �1, � .� <br /> � �� .��,�___ ��._ �:����� .��. _ <br /> �-:a�"�o�:e- '�'zi�.:�e .�e�u.:ed: :e� � <br /> F.LZL`,.��5 (i:^_ho�.�e�, <br /> a <br />