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y ��� $�c� o�r Svv�e� <br /> f . <br /> �CT�EC]K pF`F LIST FOR xSSUANCE O�' �'E��TS <br /> FOR OFFICE USE ONLY� , <br /> � �� �J� �� <br /> �}D�tESS OR LEGAL: `� e �� <br /> PID� � <br /> , , ^ <br /> 77ESCRIP'I`S�N OF W�RK.. �� �r-�� ��C„ wat 5� �r�� <br /> __------------ ----------__--_------------------�-------------------------------------------- <br /> ZOYI�tG REVIE�V BY: DA.TE APP�OVED: 4' Z <br /> $U7ZDING REVIE�V BY: ' . . DATE APPROVED; �. zs- d�'1 <br /> kEES TO BE CHARGED: �/ Misc. Fees Calculated By: <br /> PER.IvLT.T Yes ✓ No <br /> PLAN REVIEtiV Yes � No SE�VE.R CO�E�ON <br /> No tiVATER CONNECTION <br /> STATE SURCHAR.GE �-'eS � pAg�{ FEE <br /> INVESTIGATION FEE �'eS No�- SITEINSPECTION <br /> SAC Yes � <br /> Nurnber of SAC�Uruts OTHER (specify) <br /> -------------------------------- -� <br /> ---------------------------------� <br /> ___ <br /> �,py-T�1tG CH�CK LIST Zooing District: �I` " � � <br /> Fite Department: <br /> Post Office: Schaol District: � <br /> � Widch 2S � Depth S`� �J <br /> L,oc Area; Sq.ft. Acres ��` <br /> Date f Sucvey: ������� <br /> Survey Submitted: Yes „� ��`�, ��—�-�c� `��� l� , <br /> �roposed Setbacks': �c�W` • : <br /> Front{�e�: t`1Far I�it Side: �i.:�-+ v���*e- ��0i'N�"�"'�� . <br /> ��,.��,� <br /> P.e ar(�ee�� ���+ s.e�c-S ide: Y1 /'� <br /> ����3C?�� S'trtlf'i_ijrCi; �►"` tivPrl2*1�: � �1 <br /> Euil�lin� Hei�t: Def, Hgt, ti� /� __ ____ <br /> Peal:Hot. <br /> Lot Covera�e: l� /�" <br /> �f:� By: Counc� Approval Date: ' <br /> GradLn�: Scaff Approval Date: � <br /> �-{ � � <br /> Szp[ic; Staff Aporova! D2te: ' � ✓- �� �y: <br /> 7o�n� F��lz. �___ Resolut:oo: rt__ Resotutioa Da:e: <br /> Shorz:and District: I�fC� ��Coveca�?� <br /> Av�. Setbac'a:: g!uff Setback: �" <br /> � Proposed <br /> �,�!stit� <br /> Ei�eco��ec: G-7�' <br /> 7�-2�0' <br /> 21V-�'-1`J <br /> �'�0-i C�G'�� <br /> n, _,�. -�; '�c --_ c': C�'.=_. :".c_�� �,. <br /> F--?a-c.`o�;z- ����'.�:.e _ _���._`_. _ � <br /> t'T�,L•'�.;-�ti (Ln]10'��): <br /> ,..1_ . <br />