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� �CHEC�K p�F' i�IST FOR ISSUANCE O�F' �E�'l�LITS <br /> FOR OFFICE USE ONL� <br /> C.�f i ;— �� /) �� <br /> �DD�tESS ORLE�AL: `� � e . <br /> PID: �C��P � < n�. �,,� ��;-�r�,w���� �lc�✓/� 9�"�l� <br /> ESC��7�� OF WORK: /1Q,�'1•, ..,� �,.�r--_�--------- ' j/ a� <br /> �-------- --------`______�__-------------pATE APPROVED //16'1 <br /> �O�,�G REVIE�V SY: DAT'E APPROVED; �- g - � . -- <br /> �ULLDING REVT.EtiV BY: . <br /> � ---=-----------------------=------------------------------- <br /> �`EES TO BE C�-T�GEA� Misc, Fees Calculated Sy: <br /> PERNLIT Yes ✓� No _ <br /> PLAN REVIE`V � Yes ,/� No SE�VER C�i�INECTION <br /> No tiVATER CONNECTION <br /> STATE SURCHARGE �-'eS � ,�o � pA�{ FEE <br /> INVESTIGATION FEE Ye5 No —�- SITEINSPECTION <br /> S1�C �es <br /> er af SAC�Units OTHER (specify) <br /> Numb ----------------------- ------------------------------------------------------ <br /> ------ <br /> ZO! � Cr CIiE.CK LIST Zoaiag District: N.C-_ � <br /> Post Office; Schaol District: � <br /> Fite Dep�e��� . <br /> Acres ' Widch Dep� <br /> L,oc Area; Sq.ft. . <br /> Survey Submi[ted: Yes <br /> �o Date of Sunrey: <br /> Proposed Setbacks: Q � Side: � <br /> Front(Lake;; �� <br /> Rear (S�reet): Lefc Sid . <br /> rPnt Cln r� r , ��/atl�r tj: <br /> �r��ja„�.... 1_:ll_Z"; <br /> Pea�Hgt. <br /> Euil�lin� Hei�t: DeF. H�t. . <br /> Lot Covera�e: <br /> GradLng: Staft Approval Dace: <br /> By; Counc� Approval Date: ' <br /> Septic: S�af: Aporova! Date: +' " � ��' �'`f� <br /> Zoc�.n�' F��le: �`______----- <br /> Resolut�.oa: n Resolutioe Da:e: <br /> Sherel�ld Dlst:ic�: g�,,`F:ce�.ba k: L,:��Coverz;e: <br /> A��. Se`•�pac'";: p;op�se�' <br /> �ts��a� <br /> �-I Z CC 0`�P r•, G-'!�� _._------ <br /> ----- <br /> 7�-2��� ------ <br /> __---- <br /> '7;u-��s.: — ---------- <br /> ����-....,., ----- <br /> J. ��r1 , ���.� V. L.V'..--... . _ -� —' <br /> ra-r.�.�,'Z.' '�ar,_,:.° .,_::.�'.i2,_. 12: . <br /> �^,,�,1T��� /yn �I �.1;``� <br /> y'�' k . _.. . ___ <br />