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} � CAEC�i OFF LIST FOR ISSUAI�'CE OF PERtirITS <br /> FOR OFFICE USE ONL.Y . � . <br /> A.DDRESS ORLEGAL: ��35 N �=cRNC�AI.-�- <br /> PID: <br /> DES CRIP'�TxON OF�ORK: �i�J(�1 t7 0 N <br /> . <br /> ZOr�G REVIEti�%BY: D�TE APPROV�D: z/-- �- �� <br /> BUILDItiTG REVIE� BY: . DAZ'E APPROYF�: � • 3 - .d t <br /> FEES TO BE CH.ARGED: Niisc. Fees Calculaced By: <br /> pEgMIT Yes � No �� <br /> PLAN REVIEW Yes �/ No SEW�"R COi�1NEG"TION <br /> STATE SURCHARGE Yes _s� No ��ATERCONNECI'ION <br /> I�,'VESTIGATION FEE Yes No c/' PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC•Unics OTHER (specify) <br /> ZO\�L�IG C�CK LIST zonin�Dis�icc: (�CL�1�i _ . <br /> Fire Department: VVRyZA� Post Ofuce: �1ATZA�� School District: �►���T__PrC'y� <br /> Lot Area: Sq.ft. Z�q.523.� Acres 'y•`�I � Widch `(�7 Depch yL9. b�l <br /> Sun,�e;� SubL.itted: Yes ,� No Date of Survey: g-`��d l <br /> Proposed Setbacks: � <br /> Front(Lake): t3� '� RiQh[Side: � Z�"�'± <br /> Rear (Screet): �1�� � Left Side: 1`IS` � <br /> Adjacene Struccures: qTTt�-4-tt,� �Vetiand: _/1��_ • <br /> BuLdin� Hei�ht: Def. H�t. �.<< Pea.�:H�t. L���. <br /> Loc Coverage: /U`/� <br /> Gradin�: Staft Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: '-' By: <br /> Zoni�� File: n --- Resolution: n Resolutioa Date: � <br /> Shoceland District: (�f O <br /> Av�. Setback: Blufi Setback: L.otCo�'era�e: <br /> E�t�j Proposed <br /> Hardcover: 0-7�' -- <br /> 7�-250' <br /> ti0-500' <br /> 500-1000' <br /> Hardcover Variznce Required: Yes No Date of Council Aoproval: _______ <br /> RE�L�R�iS (in hou.se): <br /> 7 <br />