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� �CHEC�K pFF i,IST FOR TSSUANCE OF �ERi�ITS <br /> FOR O�FICE U ONLY <br /> � OR LE%AL: � � "'� S �.�� � <br /> �p��s �. aR <br /> PlI))' w�nl e e n� /Lc rt.o - r�1 P�,•J 6 , n/ <br /> � . • - r �. <br /> ESC O� OF WORK: <br /> ^� ���� �� � � � ������� � j <br /> ^ �rl�Ti G REVIE�V BY: c�_ - ----- _ DATE APPR VED: <br /> ZO: D.A.TE APPROVED: Z•2�-6'� <br /> $UI��DING REVIEtiV EY: � . <br /> �'EES TO BE C�IARGEA: � Misc. Fees Calculated By: <br /> PERM.IT Yes ✓ No <br /> SE�VER CO�INECTION <br /> PLAN REVIE`V YeS `� No tiVATERCONNEC�'I.ON <br /> STATE SURCHARGE YeS � ✓ p� FEE <br /> INVESTIGATION FEE YeS �0 � S�EINSPECTION <br /> SAC Yes No <br /> OTHER (specify) <br /> Number of SAC�Units ________________ <br /> -------------------------- <br /> ------------------ <br /> -------------------------- -�� <br /> ZON..7�i IG CH�CK LIST Zoaing Discricc: " • <br /> Post Office: Scho°�1 District: <br /> F ire D ep 3rtmenr. �„�c l�clQ� cc..�E��tCV <br /> L.oc Area: Sq.ft. <br /> Acres �. Width _ ��� Depth 3 � <br /> Survey Submitted: Yes � No Da[e of Survey: I C�� <br /> . As b�,l <br /> Proposed Setbacks: ,� -� � �'1�✓� <br /> Froa[E�): I�5 �Side: i'�c �-�n/�'v�CL{Z- <br /> 1. �,�'� � <br /> a Rear{�reet): � d� �eft Side: r�� �S— <br /> � � `\farlanr�: <br /> � �'P r`�.Qj3CPP�t GrniCnllzS; L <br /> � Q Fea�:Hgt. yn C �vt Car¢�n�� i v� (-Jl C� � hu��1'T <br />� p B u i l�l i ng H e i�[: D e P, H�t, <br /> Lot Covera�e: �1�v <br /> B Council Approval Date: <br /> Grading: S�aff Approval Date: Y• <br /> Septic: Stafi Aporov�l Dace: �- 1 �O•" d� �y: �C,� <br /> Zoain� F'�le: �,_ Resolutioa: R__ Re�olution Date: _ <br /> Sho�e�and Dis[ric�: ►�� L,c�Covera^a. <br /> p,vQ. Setbac't,: p,!uff Se(�ack: �_. <br /> � P;oposed <br /> Eisti_e� <br /> H�cco��er: G-i�' <br /> '1�-2�0' — <br /> 2�0-�C�' <br /> ���0-i OC�'� <br /> �,_ �;� u� o� Co�� .��_ ., �: <br /> �a-eco�;e' `vzi�.ce R��u'.:e�'. `: � '- � . . <br /> - - � n�.� s T �c` CrnJ SQ J�-� ��' (P��C' � <br /> �'.=�L'�.R.�� r Ln h o�.v el: l.J/kS C� <br /> vwi �o <br /> Y�,,kC�-�/ e..sl-c.l�l�sirwt�v►� r�wred <br />