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. . <br /> 1 �CHEC�K OFF i.IST FOR ISSUANCE O�' �E��ITS <br /> FOR OFFICE USE ONLY'� <br /> ADDRESS OR LEGAL: �l S ��'�.� c'/� �� � �e l� <br /> PID: <br /> pESC�2IPTT�N OF W�RK: re..vnod�.� �cu,e.✓ (u�3 � c�'�--� <br /> Z4VING REVIEtiV BY: --------____— — pATE APPP.OVED: <br /> �U�LDING REVLE�V BY: . ' . . DATE APPROVED; <br /> FEES TO BE C�TARGED:^ Misc. Fees Calculated By: <br /> p���T Yes No <br /> PLAN REVIE`�V � � Yes No SE�VER COi�II�TECTION <br /> STATE SURCHARGE Yes No tiVAT�RCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION . <br /> Number of SAC�Uruts OTHER (specify) <br /> --------------------------------------- <br /> ?,p�T��tCr C�CK LIST' Zoaing District: �' �� , <br /> Fire Department: Post Office: School District: � <br /> L.ot Area: Sq.ft. Acres Widch Depth <br /> Survey Submi[ted: Yes I�Jo Date of Survey: <br /> Proposed Setbacks: . ; <br /> Fron[(Lake): Rioht Side; <br /> P.ear(Stree[): Left Side: <br /> �3;a.r.P�f Crnir���r�_; tiVgrl�r rj: <br /> Buil�in� Heiaht: DeF, Hgt. Peak Hgt. <br /> Lot Covera�e: <br /> GradLn;: Staff Approval Date: By: Counc�Approval Date: ' <br /> Septic: Staff Aporov� D2ce: ___ �j_=_� IJ� / �y: �v <br /> Zoain� File: � Resolut;oa: rt Resolutioa Da'e: <br /> Shorztand District: <br /> Avg. Setback: B!�E�Setback: L.o!Covera�e: � <br /> �.�sti.eo Proposed <br /> H�ccaver: G-7�' '� <br /> 7�-2�Q' � <br /> 2�0-����' <br /> �CO-iC`�'��� <br /> �arC�p';2•' ti Z.�.�2 '.�'tiL'.:2�: i�2� �'C J=-- L'� �G'.-_�. .�:,_�� - '�'i <br /> �T\L'�T_� �.n n� 1; i <br /> .��_ ,L_h��e, <br /> __ _ <br /> � <br />