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a � � . <br /> CHECK OFF LIST FOR ISSUAIVCE OF PER!'�.tITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: �U� � 1=/-� 2v�l:r C� U�cN V _ <br /> PID: <br /> DESCRIPTIOV OF Y�O.RK• -�'����- ��"�'���'"�� <br /> ------------------------------- <br /> ------- --------------------------------- - <br /> ZOtVI�YGREVIEGVBY: D.ATEAPPROVED:- /- �—a� <br /> BUILDI1ljG REVIEW B : DATEAPPR06'ED: � • z� —�s <br /> ------------------------------- <br /> FEES TO BE CHt1RGED: hlisc. Fees Cafccclated By: <br /> PERIYIIT Yes � [Vo <br /> PLA�V REVIEGV Yes _� No SEtiVER CON�VECTION <br /> STfLTE SURCH.4RGE Yes c/ tVo tiVATER CO�Wt ECTIOIV <br /> I�VVESTIG,4 TIOtV FEE Yes �Vo / PARK FEE <br /> S�1 C Yes 1Vo � SITE NSPECTIO�V <br /> N�un6er of SAC U�iits OTHER (specify) <br /> ------------------------------------------------------------------------------------------- <br /> Z'ONIIYG CHECh'LIST Zo���,:�Disa�icr: �Uo Cl���o <br /> Q <br /> Fir•e Departnter�t: Post Off ce: Sd400l Disti'ict: __. <br /> Lo�.�rea: Sq.f'r. �la�es YYiddt Depth <br /> Scuvey Subr�iitted: Yes No ate af Su�vey: <br /> P�•oposed Setbacics: <br /> F�•or�c(Galce): Right Side: <br /> Renr(Streei): Left Side: <br /> �Idjacent Strucaeres: erla�7d: <br /> BuildirTg Height: Def. Xgt. Peak Kgt. <br /> Got Coverage: � <br /> Grading: Scaff Approvrcf Date: By: Cocencil rLpp�rova! Date: <br /> Septic: Staff,4pprot�al Date: <br /> Zorziitg File: # Resolution: # Resolution Dnte: <br /> Slioreland Dish•ict: <br /> Avg. Setback: Bluff Setbnck: Lot Coverage: <br /> Existirz� Proposecf <br /> Hal•dcover•: 0-7�' <br /> 75-2.i0' <br /> 250-500' <br /> 500-1000' <br /> Harcicover Variance Reqti�ired: Yes No Dezte of Cozirtcil Approval: <br /> RE1l�IARKS(in house): <br /> 31 <br />