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� CHECh: OFF LIST FOR ISSUA A�TCE OF PERtiTITS <br /> FOR OFFICE USE ONL.Y . ' . <br /> ADDRESS.OR LEGAL: 5 �5 �'c:.2N�J�u� 1ti — <br /> PID: <br /> DESCRIpTION OF�ORK: d� l <br /> . <br /> ZOr�'G REVIE��V BY: DATE APPROVI�.�'D: s •�7- d! <br /> BUILDI�'G RE'YIE�BY: D�TE APPROY�D: s-i� =01 <br /> FEES TO BE C�.ARGED: Niisc. Fees Calculated By: <br /> pEgMIz' Yes �/ No �% <br /> PLAN R.EVIE�1 Yes �/' No SE��CONNECTION <br /> STATE SURCHARGE Yes � No �ATII2CONNECTION <br /> Ii�,'VESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC-Unics OTHER (specify) <br /> ZOtiZZ1IG CH�CK LIST zoni.ng Districc: N� C _ . <br /> Fire Depar[ment: Post Ofuce: Sc�ool District: • � � <br /> Lot Area: Sq.fr. Actes � Widch Depch <br /> Surve,� Sub.�.itted: Yes No Date of Survey: _ <br /> Proposed Se!backs: <br /> Fron[(La.ke): RiQht Side: <br /> Reax (Screet): Left Sidz: <br /> Adjaceat Struccures: �Vetl d: • <br /> Buile�in� Hei�hc: Def. H�t. Pea_:H�t. <br /> Lot Coverz�e: <br /> Gradin�: Scafi Approval Date: B : Council Approval Date: <br /> Sepcic: Staff Approval Da�e: B : <br /> Zoaing FIle: # Resolucion: m Resolutioa Dace: � <br /> Shoceland District: <br /> Av�. Setback: Blufi Setbac : L.ot Cocera�e: <br /> E���� Proposed <br /> Hardcover: 0-7�' <br /> 7�-250' - <br /> ti0-SQO' i <br /> 500-1OQ0' <br /> Hazdcover Variance Required: Yes N Date oE Councii Aoproval: �_ <br /> gEI�IA.R�;S (in house): <br /> � <br /> � <br />