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` �CTiE�� p�'F i.�IST FOR IS5UANCE O�' PE�'VIITS <br /> FOR �FFICE USE ONLY <br /> A.pD�2ESS OR I.�EixAL: '�S/ B d ut-��� �l r/�� - - <br /> I PID: ?, _ � ;� - `. ?> O 3 t�V�t1 c�t. � <br /> T3ESCRZPTION OF�'�OR.I�: �(1�v�.1 T� <br /> ---________--- ___._--- <br /> -------------------�- <br /> ------------------------------------- <br /> --- - AATE APPROVED: I�-l—z-O <br /> ZOYI�tG REVIE'4V BX: �/ � ` PROYED: �-2�-c� � <br /> SUZLDIl�IG REVIE�V BY: . . DA.�'E AP I <br /> FEES TO BE CHARGEA: ~ Misc. Fees Calculated By: <br /> PEg�T Xes ✓ No <br /> PLAN REVIEtiV � Yes _� No SEtiVE.R CONNECTION <br /> STATE SURCHARGE Yes �/ No �VATERCONNECTIOi� <br /> INVESTIGATION FEE Yes No _� PARK FEE <br /> SAC Yes � No SITEINSPECTTON <br /> Number of SAC�Units _�_ OTHER (specify) <br /> ---------------------------------------- <br /> ------------------------- <br /> ZpNI�iG CHE.CK. LIST zoni.ng Discric�: �P �-� . <br /> Fire Dep�ent: <br /> �L-- Pos[ Office: �L School District: ���� <br /> � ► <br /> L,or Area: Sq.ft. �tm� Acres �� 0 3Q� Width � �, � � Depth � . ��' <br /> Survey Submitted: Yes 1� No Date of Survey: � "�� �`�` <br /> Proposed Setbacks�: 1 � � "� <br /> Frant(�e}, b Righc Side: /�7 � <br /> � ,� ' <br /> �2, 3 ����L,eft s;de: � <br /> Reas(Streztj: � <br /> Adja�ect SICu�Ct!?'es: Ar`fT" Wetland: � / � <br /> ► 3� �� <br /> Builuin� Hei�.t: Det, Hgt, z� � Peal:Hgt. <br /> Lot Covera�e: / / '���' �������� <br /> ��` �.��.:�t� /���°'�. . <br /> 'PfJ�,` �k, .� . . q��( „ •, pYp:cva?nate: —_. <br /> Gcadin�, S�aff App�ov�l Date; B;: ��v=" �.o�,cLL <br /> Szpcic: S�aff Approvzl Dace: �f�T �Y� � <br /> Zoaing F;le: R '� Reso?u:ion: n "� Resoludon Datz: �'" <br /> Shorelz�^_d Districc: _ /�i'" _ <br /> Avg. SetbacK: Bluff Setback: �- L.o[Covera�e: <br /> Euscing Proposed <br /> Hzdcover: 0-75' <br /> /�-LiQ' <br /> 2�0-SC'�?' <br /> ' �oo-:c���� <br /> �s <br /> � j��'� '�' �11C'� .�n�l�'�VZ'_. <br /> ;?r��p'..,. �;'�!,�C� �'yu!i�C: :es . ._ _. . , <br /> F.E�L�K� (inhousel: ��c-1�s �Q12� `1-o t�''�T�(�� �F �l <br /> G��e.� P r�� ���.5 <br /> � �u�UL�' p+�UF�"�� �' � , <br /> -�K.-� 'i� / <br /> n�s t t�L �I`�-� u . ��- U�'a�_:;{c �� T��. _1�,.��'�'r <br /> �,�'� ,o��l t L,� (��--d2 � �3 c-flG, /t�► s < < , <br />