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, �HEC� OF� i�TST FOR ISSU.A.I�i CE 4� PER.��ITS <br /> FOR OFFICE USE ONLY <br /> ApDRESS ORLEGAL; Z�Zr� cr+�Ez. Avc —_ <br /> �ID: � 6 A►�-�s + ru.o� (1 e D(L:mo�-� <br /> DESCRLP'T�IO,i O�'WORK: (ZG�✓�-<<- k�-r-�►-�e.•� <br /> ZO�G REVIE�V BY: ---�N (A _____�..__ J�E,�T� APPROVED: _ <br /> �UILDING REVIEtiV BY: � . DA'�E APFROV�D: '�,- �.3-o� <br /> FEES TO BE C�-LARGED:� ^ Misc, Fees Calculated By: � ________ <br /> PE�T Xes r� No <br /> PLAItiT REVIEtiV � Yes � No S�VF�R COyNEC`I`ION _--_._--- .____ <br /> STATE SURCH?�RGE Xes � Na ��'ATERCONNECTIO�T ^ <br /> INVESTIGATION FEE Yes Na _� P�K FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC•Units OTHER (specify) <br /> ZONI�IG CHE.CK LIST Zaning Discrict: n�o G I-ti4N62 <br /> Fire Depar'�ent: <br /> Post Office: Scheol District: � ___ �___.�_�_ <br /> Acres idch Dep.h �_ _ <br /> Ifot Area: Sq.ft. � <br /> Survey Submitted: Yes No ate oE Survey: <br /> Proposed Secbacks; <br /> Froat{Lake): Right Side: <br /> Rear(Stree[j: Left Side: . <br /> fidjaceat Structt!res: �, ettand' <br /> �u'tl�lir:� Hei�.t: Det. Hgt. P �.Hg�. <br /> Lot Covzra�e: <br /> Grading: S�aFf Approv�i Dz`e; B;: Cou_eci� Apgroval Date: - <br /> Sepuc: 5�af� Approval Dace: EY� ' <br /> µ Reso!u:ioa: r esolut;on D�:e: <br /> Zoc�.ng F�le' R <br /> Shoret�^.d Dist�:ct: _ . <br /> Bl��;t Serback: +�:�,over��,e: - --- --- <br /> r�.Vv. Se��cC�: _. - -- -- <br /> r�`�`�a DCO�C�S2C <br /> �t�CO'/�., O-�S� _____ <br /> (�-Z�Q� <br /> �.�.�-5�� --- <br /> JCV��C��V � � <br /> r��, '-r-� ��r i A , .. ;a'.: <br /> � l: `�n i�r�.. ._ �. _ . __ .' . __.__..._._____ <br /> ._��....�'�.'.. r �._....... �,_ ,_,.._. .__ _ ,� . . <br /> r.�.��'�P.�.� ;L.hou�c): <br />