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�HECK O�`F i,IST FOR ISSUANCE ��' �'E��ITS <br /> FOR OFFICE USE ONLY <br /> .A_DDRESS OR LEGAL: 2 y2o �� S�: <br /> PID: <br /> DESCRIP'I�SO�I OF WORK: P l <br /> ZO�G REVTE'4V ]3Y: ---- ��.-_�_ DATE APPROVED: � v -�8'-�6 <br /> SUII�DING REVTEtiV BY: DATE APPROVED: � o -1 b -o� <br /> �'EES TO BE CHAR.GED: Misc. Fees Calculated By: <br /> PERMIT Yes c� No <br /> PLAN REVIEtiV � Yes c/ No SEti�IE.R CONNECTION <br /> STATE SURCHARGE Yes �/ No �VATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes Na SITEINSPEC7�ION <br /> Number of SAC�Uruts OTHER (specify) <br /> ZONi�IG CIIE.CK LIST Zaning Discrict: �. <br /> Fire Department: Post Office: School Discrict: � <br /> L.o� Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Froat(Lake): 3 g`? '� Riaht Side: / � 6� f <br /> � � * <br /> Rear(Street): SSa� � Lef:Side: �5� <br /> N e-wrr�.r►�o <br /> Adjaceat Structt�res: y3� bVetland: zs 5��z-� <br /> Buileling Hei;at: Dei. Hgt. �•//,� Pealt Hgt. N/�'9 <br /> Lot Coverage: i✓�A <br /> Gradin�: S�aff Approv�l Da�e: N /�/-- B;: Council Approval Date: ' <br /> Sepcic: S[aft Approval Date: r1./c (�l� �Y: <br /> Zoaing File: � — Resolutioe: � —' Resolutic w�'��� ����M � <br /> V��,��CA S� - � ,, � <br /> Shorela�d District: /vc� � <br /> Avg. Setback: Bluff Secback: � '�1 ' : > -� a �� ���� � <br /> ( �2�� —°, <br /> E�.isting � �~':GcB-�4 , f-�V <br /> i�,�,�„�i,,,, ��s ��- <br /> H�dcover: 0-75' ' - i <br /> 75-250' <br /> 2�0-500' �,`� , , r�M <br /> �00-lOC{J' � (/tJ �r �� <br /> �:z:�ce��er t�'�:�,ce Required: yes �:� <br /> F.E�L=�.RS�S (in hou�e): <br />