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�KE�K p�`F i�IST FOR ISSU.ANCE 4F �'E��'IITS <br /> � FOR OFFTCE USE ONLY <br /> ADDRESS OR LEGAL: 905 ��2^����-e �2or�� <br /> PID: <br /> DESCRIFTION OF WORK: I�.r�� =v�? =w��oc <br /> ------------- ----------____—.---- <br /> -------- <br /> --- AA.TE A.PPROVED: <br /> ZO�G REVIE�V �Y: ►ti I ►� DATE APPROVED: �-s -0 6 � <br /> PUII�DLNG REVIEtiV BY: � . <br /> �`EES TO BE C�-IARGED:^ � Misc. Fees Calculated By: <br /> P�g�T Yes ,/� No <br /> PLAI�T REVIEti� � Yes ✓� No SE`VE.R CO�INECTTON <br /> STATE SURCHARGE Yes `,� No �VATERCONNECTIO�,T <br /> INVESTIGATIOitiT FEE Yes Na _� PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONI�tG CH�.CK LIST Zaning DiStrict: r�o G�-+�-2- �. <br /> Fize Departmenc: <br /> Post Office: Schoal District: � <br /> �Or Area: Sq.fc. <br /> Acres Wid[h Depct� <br /> Survey Submitted: Yes tv'o Date oF Survey: <br /> Froposed Setbacks; �a t Side <br /> Front(Lake); � <br /> Rear(Streetj; LeFt Sid <br /> Adjacent Structures: bVetland: <br /> auiluin� Hzight: Def. Hgt, Pealc Hgc. <br /> Lot Covera�e: <br /> v� �r'..GuuCu ci D:C','?�•1 il�C?: - <br /> Gradi�z�: S�aEf App:ov�l Date; �'- <br /> Sep�ic: S�af� Approval Date: <br /> E� : <br /> ZoainQ Fuz R Rese?ution: „ Resolu:ion Datz: <br /> Shetel=.�^_d Dis[r':cc: <br /> ?,v�. SecbacK: Bluf?Setbac.: I�t Coverage; <br /> Eusc�g Proposed <br /> Hz�dcover; 0-75' <br /> ?5-2�0' <br /> 2�0-560' <br /> �00-1��1�, <br /> T�-,•� �� �'�i�nri� A,p�-O'1�: --- <br /> :,��'.rp't�. �i�_:2�:C' ..�y:..:_�. :e� • - ` <br /> F.�.�L��S (ir!hou�e`, -- <br />