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� • <br /> CHECK OFF LIST FOX ISSUAIYC.E OF PER1I�IITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: Z�� ���H G���`� G/�"�"�� <br /> PID: <br /> DESCR�TPTXOV OF Yf�O.RK: �Ec. <br /> ---------------------------------------- <br /> --------------------- <br /> ZO�VING REVIE GF�B I`: �w�C a��-- DATEAPPROVED: 3-(l��s � <br /> BUILDING REVXEl�BY: �� Df1TEAP.�'R06`ED: 3 -�1 - �S <br /> --------------------------------------------- <br /> FEES TO BE CHARGED: �Llisc. Fees Cnlcccfated By: <br /> PEI�LIIT Yes � No <br /> PLAN REI�IEGV Yes � t�Io SEtiVER GO�V�VEGTIOrV <br /> STi�.TE SURCH.4RGE Yes '� No tiV�TER CONNECTIOIV <br /> ItVVESTIG.4TION FEE Yes tVo PARK FEE <br /> SAC .Yes tVo SITE tNSPECTION <br /> Number•of SAC U�tits OTHER (specify) <br /> --------------------------------------------------------------- <br /> ZOrVING CHECh'LIST Zo�«,�;otsa�tcc: <br /> Fi+•e Departmer�t: Post Off ce: Sclzool Dist�•ict: __.. <br /> Lor.�(ren: S r. Acres 6Yidth Deptli <br /> 4•f <br /> Scuvey Sc�b�riitted: Yes�_ No Date of Scuvey: 6•1- �7 r N F+t_,�� <br /> Proposed Setbncks: � , <br /> Fi•orir(Lal.e): I �"Z� +' Riglzt Side: I Zo 'i <br /> '�� Ge t Side: c�3� � <br /> Renr(Sh•eet): Gf f <br /> Adjacent Structures: N �/�- <br /> Gf�etlnnd: �� � � <br /> Building H�igh[: Def. Hgt. C�.(L Peak Kgt. 0�L� <br /> Lot Coverage: � N 1 A- <br /> G�•acling: Scaff.4pproval Date: N I v4 By: Cot�ncilrlpproval Date: <br /> Sepric: Stnff�4pproti�a(Date: N l ✓�-- BY� <br /> Zo��ing File: # — Resalutia�t: # Resolutiaz Dnle: <br /> Sltoreland Dish•ict: -e _ <br /> Avg. Setback: �,�L Blc�ff Setbac�: n/�� Lot Cover•age: N�� <br /> Exis[in,; Propasecf <br /> Hai•dco�er: 0-7�' <br /> �s-zso� ' o,�L <br /> ?so-soo� ! <br /> 500-1000' <br /> Har•dcove�• Vm•iatice Reqccired: Yes No aL Dnte of Co�i�icil Approval: <br /> .RED�IARKS(i�t Itotcse): . <br /> 31 <br /> ; ; ; <br /> ,�,;, <br />