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CHECK OFF LIST FOR TSSUANCE Ok' PER�I�ITS <br /> � FOR OFFICE USE ONLY . <br /> ADDRFSS OR LEGAL: y'� �°_s�l s�o�=��Z r. C'; n_`_c�; � , _ <br /> PID: <br /> DES CRIPTION OF WORb'.: /�,U��, ���--S � <br /> 7 <br /> ZO��iYG REVIEti'Y BY: - � �G�-- � � DAZ'E APPROVED: i z- �3i - `j 1��- <br /> BUILD .Ttii TG REVI.E�� BY: �� .�;,GY-�- DAT'E APPROVED: , Z 3;.-�5 YJ <br /> FEES TO BE CHARGED: - � Misc. Fees Calculated By: W� <br /> PERNIIT �Yes � No . <br /> PLAN REV�� Yes l/� No SEWER CO�TNECTTON <br /> STATE SUR`H�1RGc Yes �f No �zIATER COI�ECITON <br /> .,�I7VYESTIGA'I'ION-FEE Yes � No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units �OTHER (specify) <br /> ZONl3�'G CHECK LIST zoning Distcicc: (Z P_-i r� � ~ <br /> Fire Depa.rtmecr. Anh��,.�_ ��{,nj Post Office: �1M�P� ,���r�� School Districr. C12C,vU� <br /> Lot Area: Sq.fc.vUo c��� Acres — tiVidch i�;'�J'/-Z.u�t'• Depth <br /> Survey Submir.ed: Yes �x No Date of Survey: '�� S �%7 <br /> Proposed Setbacks: <br /> � � <br /> Front (I�ce): . �5 Right Side: f Z�� r .}. <br /> Reaz (Stfeet): 1�� � � Left Side: �7�� t <br /> Adjacent Scructures: /U /�� tiVe[land: N �ra- <br /> Buildino Height: Def. Hot. Pea.k Hgt. <br /> Lot Coverage: ti i!� <br /> GradinJ: Stafi Approval Date: ! 2� 31` �`t3 By: ���t�`PCouncil Approval Date: � <br /> Septic: Staff Approval Date: (2 -3� -�`� gy; �� . <br /> Zoaing File: � � — Resolution: � — Resolution Date:� -- - <br /> Shorelznd Dis�-ict: j�c? � <br /> Avg. Setback: Bluff Setback: Lot Cove�ae: � _ <br /> ' ' Existin� Proposed <br /> Hazdcover: 0-75' <br /> 75-250' . • � ' <br /> 250-500' • <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> � ��' � <br /> 1�El�L4RKS ('in house): ;� W�:�(� lC ��p�'�,CC:'i�1 `.�: ��-� ✓v'.��� <br /> ; - _ . � . <br /> .,� . 26 <br /> , ' ��� . . <br />