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. �KEC� Cl�`k' i,TST FOR ISSUAI�iCE �F �'E�.�Z'� <br /> FOR OFFICE USE ONLY <br /> p,,pDRE�S ORLEGAL: z'�1l o ��rvwc���v ��2 - — - <br /> Pl�: ` <br /> JDESCFtIPTI�N OF�FVORK: �,2�c ,���<< �2-EAA�2 - <br /> Z4Y�i IG REVTEtiV BY: ----hJ��-____�_ J�E�T`� A1'P�OVED: � _ <br /> �;UTZDII�G REYIEtiV BY: <br /> . DATE APPROVED: 3-�- �� --- <br /> �`EES TO BE CHARGED: Misc, Fees Calculated By: _____ <br /> PERMI.T Yes ✓ No <br /> PLAI�T REVIE�V � Yes No _�___/� SEti�TE,R CONNECTION _------__ <br /> STATE SU�RCHARGE Yes �/ No GVA'I�RCONNECTION <br /> INVESTTGATZON FEE Yes No PARK FEE <br /> SAC Yes No SITEINSFECT'ION <br /> Number of SAC�Units OTHER (specify) <br /> -------------------- <br /> ZONI�IG CHE.CK LIST Zaning District: t�fU CNA�C�Is. <br /> FLre Department: <br /> Post Of:ice: School Di�trict; � .__ <br /> 1..,oc Area: 5q.ft. <br /> Acres Wid�h Depch ________ <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed 5etbacks: <br /> Froa:{Lake): Right Side: <br /> Fte3[' �jiicctj: L�ft Side: <br /> �djaceat Stn:ctures: Vettand' <br /> auil�lin�Hei�t: Det. Hgt, Pe�Hgt. ,. <br /> Lot Covera�e: <br /> C�rading: S�aEf F�pprovai Dz�e: B;: Cottecil Approval Date: <br /> Szpt;c: Staf� App;o��:1 Dace: _ �`.�: <br /> Zo�ng F�Iz R Resolution: „`' Pesoluticn Da'e: <br /> �;-,��zi�-�d Distr:ct: <br /> �,�Se�back: i_r��Coverae: -------.__ __ <br /> A.vQ. Setb2ck; B�'� ` , <br /> E�isti�o ?;oros=u <br /> H�dcever: �J-75' <br /> 75-2�0' <br /> 2�0-5C`t`' — <br /> �CO-1���' - <br /> _. <br /> - �� �� -. _.. <br /> ,- , ..,.._� c�,-� �-�� , , .. — �- - —_ , ___---_ --- <br /> ;�'__., ... , �._..�_ ., .... . _ <br /> �.�.�L'�F.��i� �L:r.o�Lej: --------- - <br />