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� � . � CHECI� OFF LIST FOR ISSUA��CE OF PER.tinTS <br /> _ FOR OFFICE USE ONL.Y � . <br /> AUDRESS OR LEGAL: �i�ti 5 C6 N 1 v-'��� �n �-�°`� � <br /> PID: <br /> DES CRIPTION OF�ORK: �7 C� 2T (��:^ � v�.�2�. <•r�-+'�� C' <br /> . <br /> ZOr��G REVIEti� BY: N(� D�TE APPROVED: <br /> BITILD�'G REVIE�BY: C- � � ^ �.,�. D�TE APPROYID: :s--i_� �=u . <br /> FEES TO BE CH.4RGED: ✓ Nlisc. Fe�s Ca?cuiated By: <br /> pEgNIIT Yes No �� <br /> PLAN R.EVIEW Yes �� No S��CONNECTION <br /> STATE SURCHARGE Yes c/ No �lATF.RCONNECTION <br /> II�iVESTIGATION FEE Yes No P-�RK�E <br /> SAC Yes No SI'TEINSPECTION <br /> Number of SAC•Unics OTHER (specify) <br /> ZOtiZ:�IG C�CK LIST Zoning Districc: Oti�;' C��y� <br /> Fire Department: Post Ofnce: S:.�ool District: � � <br /> L,ot Area: Sq.fr. Acres Wi�:a Depth <br /> Surve;� Subritted: Yes No Dace of S•:rvey: <br /> Proposed Setbacks: <br /> F.ont (La.ke): Ri;ht Side: � <br /> Rear (Screet): I.eft Side: <br /> Adjacenc Structures: �Vetland: � <br /> Buildin� Hei�hc: Def. H�t. Pea.�H�:. <br /> Loc Covera�e: <br /> Gradin�: Stafi Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Da�e: By: <br /> Zoaing File: � Resolution: n Resolt:.�on Date: . <br /> Shoceland District: <br /> Av�. Secback: B[ufi Setback: Lot Co��era�e: <br /> E���? praposed <br /> Hardcover: 0-7�' -- <br /> 75-250' <br /> ti0-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Aoproval: �_ <br /> REI�LAR�iS (in house): ��.�v-%ti n;�. /� � .��`,1 �-t= i��i G��ru'f4'�.. i-k;�;:� <br /> +�c�l� I�l� <br /> 7 <br />