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��� �r <br /> � CHE�:.K OFF i�IST FOR ISSUA.NCE OF �ERi.�IT5 <br /> FOR OFFTCE USE ONLY <br /> AbDRESS ORLEGAL: Z3gi (�LAIr�� A��= - <br /> PID: • - i., �«N� R-i:�cA-c_csvt�KJ r <br /> J�ESCRIPZ�IO�T OF WORI�: CLI� i2.���r►nL�v� r <br /> ZO`�i G RE�`V BY: ------ f} ------ DATE APPROVED: <br /> I3UTI�DLNG REVIE�`V BY: . . DATE APPROVED: �� - 2� -o c: <br /> -------- ------------- - <br /> �F'EES TO BE C�IA_RGED: Misc, Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAI�T REVIEti� � Yes f No SE�VE.R CO�INECTION - <br /> STATE SURCHARGE Yes _�� No �GVATERCONI�'ECTIOi�7 <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No i/ SITEINSPEC'TION <br /> Number of SAC�Uruts OTHER (speci�y) <br /> ----------------------- <br /> ---------------------------------- <br /> ZONI�IG CH�CK LIST Zoning Discrict: �/Uc) Cl-�-✓4/J�� �. <br /> Fi.re Dep3rtmenr. Post Office: School Distric[: � <br /> Lot Area: Sq.ft. <br /> Acres Width Depch <br /> Survey Submitted: Yes No Date oE Survey: <br /> Proposed Setbacks: <br /> Front(Lake): RiQht S' e: <br /> kear(Streecj: Left�ide: <br /> Adjacent Scn:ch!res: Wetlane�: <br /> Buil�linQ Heipht: Dei, Hgt, Pealc Hgc. <br /> LOt COvera�e: <br /> ^ "' ��?;OV3�. n�C_' , <br /> Grading: S,aff App:oval Date: B;: �,�'�;ncLL • <br /> Sepcic: S�af� Appro•�al Dace; E;�: <br /> Zoain� Fuz� R Resotution: n Resolution Da:e: <br /> Shoretz�^d Distr�cc: <br /> �v�. SetbacK: Bluff Setba k: LotCovera�e: <br /> Eusti�g Proposed <br /> Hzdcover; 0-75' <br /> 75-2�0' <br /> ,;�„�,I 2�0-50Q'. <br /> �oo-lc�c1�� <br /> �^��CC' _ �;'. ..�:C� `',' .s!i�C: :e5 . 1.�.'_:_ �: CC'��C'I A,�n^OVZ: -- <br /> _ ��� ..y' r <br /> F.i��L��.'�s �!I!�?OLL2�. <br />