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� <br /> �h�reEanc� Di��rict I�C�'I3 �errv�it ��'�ra�e Lakeshor� Setback Bl�� <br /> flllet? <br /> ` � Yes � <br /> t � Yes � No Permit Number. [� Yes � No � N/A �o <br /> ,i t�/A—see attached Setback: <br /> p: <br /> � <br /> �` Stormvira4er f�ua6ity Existing �roposed <br /> � Overlay �is��ic4�iee I�arctc��ec P�ar�cov�r l��piar��� E�e�s�irec� CUP Requirecf <br /> � circle one % and s % and s <br /> ,�^.� �.C�P�°�, � Yes � No � Yes � No <br /> � �1 j 2 3 4 5 TYPe�s): TYpe�S): <br /> � � �5�o Z s� <br /> t <br /> � <br /> f <br /> % Fee�ta be Char �cf Y�� F�t) <br /> �' ��rttti� <br /> � Plar� Re�iev� <br /> 4. <br /> � Sga#�Se�vc6�ae�� (/� <br /> � Investig�tion Fee t/' <br /> �' SJ4�—�umf�er o#SAC l3e�its (,-� <br /> � Othe�(s�ecify) <br /> � <br /> � <br /> � <br /> �' S uar� FaQta � $ �r S u�s�� l�oota e <br /> �` Basement X = $ <br /> �� 15t Floor X = $ <br /> � <br /> � 2nd Floo� X = $ <br /> �' Garage X = $ <br /> � � � � — <br /> � ES$6�'i��'��{ �O�i���flEGtlOfi VdEUe: �_ <br /> � <br /> �ran�Ins�aection� Re��ired l��ek�equerir�g Seg��rate l�ermits <br /> Footing Q� Site C6 Plumbing � Gra�ing/Filling <br /> � Poured Wall � Silt Fence/Erosion Control Q Mechanical � Fire <br /> � FQunc@atior� Survey � Fiardcover Remova! � Septic �f VVater Connection <br /> � Foundation Waterproofing �: Other(specify) � Fireplace � Sevver Connection <br /> Framing � Masonry � Lawn Irrigation <br /> � � Insulation Q� Mfg. � Landscaping <br /> � as-��i���a���y � Other(specify) <br /> �? �Final <br /> � Lathe I�ec�u's��� Stati� �ermi4� <br /> � Other(specify) <br /> � VVell � Electrical <br /> = I�Ef��,t�KS (in-house): <br /> E <br /> C�F��C1�4l. RElVV�aRF�� -TO �� �Ol'E� �� EaEIRt�IT A(�ED It�!lTI�4,LLED: <br /> �S�e �uilde . �4ck��v��edgetnent �ore� <br /> 011e - �'� h^rdr �a� --�_..i_a;,,,,c mi�c+hn c hmif4cr! �nr! �pproved. <br /> Updated: October 2015 <br /> ��\fnrtnc\nlan rovia�ni nc�rklicf 1!1_9(11 r,�inrtx <br />