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' � -C�Cg pk'�' i,IST FOR ISSUANCE O�' ���'�TS <br /> k'O�OFFICE USE ONLY� �l�rn <br /> �}�RESS OR LEGAL: �c�t> � �f J�"��-1 i <br /> PID: � �- hc�5c� � -c�h,v� sc.���� - ��'�'ll <br /> �ESCRLP`I'�O�T OF WORK: �� �.� � E�-�� c�l ��' <br /> __---------- --------�.�____�._�_�-- ---------��---------------------, �.b, `, � ZO � (� �� <br /> zo�rc� xEvr��v �aY: � !� nA�a.Pr�ovED: -L <br /> � ���` APPROVED- -� �.�- � � . <br /> . . o <br /> �U�LDING REVIE`V BY. . . <br /> � ------ __---_ ---------------D----------------------------------------- <br /> Misc. Fees Calculated By: <br /> FEES TO BE C�-IA�.GEA: �,^ No <br /> P���T Yes <br /> PLAN REVIE`V � Yes ✓� No SE�VE.R CO�INECTION <br /> tiVATER CONNECTION <br /> STATE SURCHARGE Yes � No � ��K FBE <br /> INVESTIGATION FEE �'e5 No � SITEIl�I'SPECT'ION <br /> SAC Yes <br /> OTHER (specify) <br /> Number of SAC�Units _ ________________________ <br /> ----------------------------------- <br /> �pyNG ��CK LIST Zoaing Distric�: � r ._._ ' <br /> Post Office: Schaol District: � <br /> Fire Departmeat: . <br /> , � Widch Depth <br /> L,o� Area: Sq.ft._�U Acres <br /> Date of Survey: 1 2� U�' <br /> Survey Submitted: Yes �� �0 �,j,,,(Cti��( .Q�,i.�.,,,,� Si,�"�e� <br /> ���i'K�11a��"✓, � l . . <br /> Proposed Setbacks`. n a �r�de: �`� . <br /> Froat�}� ,_ � <br /> �}��o�:ti rti��3� � � <br /> Rear (�f�}� �eft'Side: � <br /> �� ` .7 �� <br /> rP � t 1(`i1i7 � YVe���1: <br /> ��J3...,Il_ S.rl_'_'c , <br /> Q e Q t: Def, Hgt. � K� Peaic H�t- <br /> auil�lin� H ioh <br /> Lot Covera�e; � �U�x<<�,v� r[l7lD C-� Z> `�' � O �- <br /> g CouncL Approval Date: ' <br /> Grading: S�aff App:oval Date: y� <br /> Szptic: StafE Aporova! Dace: <br /> ��A �y: C.�� <br /> 7oai.n� File: ��--- Resotut:oo: n � _ RPsol�tion Da[e: — <br /> Sho�zlar.d District: ��s ��Cove2�e: N//� <br /> Av�. Setback: /��� E!uF�Setback: N!✓� <br /> � Proposed <br /> Ecisti�o <br /> H2�ecover: G-7�' __ __ <br /> 7�-2�0' ____--- <br /> 2�:;-����' � ", -%� <br /> :C��-iC�'�' � <br /> C� �• ` I�`� � �_-- �-'_ ..�^.--� n�_�. ��. <br /> �1a-C.��';2` Y�Z�.�.:.2 _til'_'."2�!. ;.2� <br /> �Tl �.�-�� (Ln h�'���: �•i� .A,Y �� ��t.i/1 T� G1 �. <br /> �.0 1.�_ L �. h(� �ll ��hrc� �v� c. IS_ <br /> �U(��� � i�'lu� �(ely.iil c� S��'`1 1vnf�GSSi � _ �__ <br /> �„ ��� o r� � ,� �..`i�,��,,,:�-C9, <br /> vYj�„ �e.vrir�� <br />