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��LEC�K pFF �..�IST FOA TSSUANCE OF �ER.��IITS <br /> FOR OFFICE USE ONL1' <br /> ADDRESS OR LEGAL: 1 0o C (�1 S� r� 1 C �e e i� <br /> PID: <br /> 7�E5CRIPffI�.ON OF WORK: t3As�nncN; F'�N, �� <br /> _ ____------ ---- _____----- <br /> ---------- <br /> ZO��i G REVIE�FV BY: N (�A DATE APPROVED: <br /> BUII�DING REVLEtiV BY: �,� � DA.TE APPROVED: s -i 6•07 <br /> FEES TO BE C�IARGED: r Misc. Fees Calculated By: <br /> P��y�T Yes �/ No <br /> PLAN REVZE`V � Yes _� No SE�VE.R CONNECI'ION <br /> STATE SURCHARGE Yes ,/ No tiVAT�RCONNECTION <br /> INVESTIGATION FEE Yes No _� PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------- <br /> ZONIi�IG CH�CK LIST Zoaing District: N � c f�� - <br /> Fire Departm.ent: <br /> Post Office: Schaol District: � <br /> L,ot Area; Sq.ft. Acces Widch Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> proposed Setbacks: � <br /> Froa[(Lake): Ri�ht Sid : <br /> Rear(Stree[): Left ide: <br /> �Pnr .Crni�h}r . `�J?rlanrj: <br /> ���3...,.._ �.__z". <br /> Builain� Hei�it: Def, Hgt, Peak Hgt- <br /> Lot Covera�e: <br /> Councii A roval Date: <br /> Grading: Scaff Approval Date: BY� PP - <br /> Septic: Scaff Approv�i. Date: S ' � � '�� �Y� ""' <br /> Zoeing File: �__. Resotut'toa: R___ Resol��tion Da:e: <br /> Sho�z,�:�d Dist:icc: I.,otCove2ge. <br /> AvQ. Setbac'�:: E!'��: �'tback: <br /> � �`S��a P:oposec� <br /> H�ecover: G-7�' <br /> '1�-2�C' <br /> 2�0-�GO' <br /> �CO-i�i;�� <br /> � ,,, �. v,- �;� u�.., o: Co��c� ^.�rc�:., _': <br /> a-eco�;er `v'zi2.�ce .-����'u:re�. � � <br /> F.���L�'�R�.�S (.in ho�.�el: <br />