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� ' CHECK OFF LIST FOR ISSUA1vCE OF PER1ti.tITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: yo5l hll6Hwoo0 �� <br /> PID: <br /> DESCRIPTIO.�OF YI�OR.K: Z•v� rr��i R-/�.o�n �� �� ��-OQe� <br /> -------------------------------------- ------ -------�------------------------------------- <br /> ZOtVIlYG RE vIE GV B Y: D.ATE APPROVED: z - �- a � <br /> BUILDING RET�EW BY, DATEAPPR06'ED: z• �-o � <br /> -------------------------------- <br /> FEES TO BE CHt1RGED: 1L'Iisc. Fees Calct�lated By: <br /> PERILIIT Yes ✓ No <br /> PLAN RE I�IE yV Yes � �Vo SEWER GO�V�VEGTION <br /> ST.�TE SURCH4RGE Yes �/ tVo tiT�ATER CO�WECTION <br /> INVESTIG,4TIO�V P.EE Yes No �/ PftRK FEE <br /> 5.�.C Y"es No � SITE NSPECTIO�V <br /> 1Vcunber af SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------ <br /> ZO�VING CHECh'LIST Zar�i�tJ Disti•ict: G2• /� <br /> Fire Deparhrterrt: Post Office: Sdiool Dist��ict: _.. <br /> Lot.�{ren: Sqf'r. 2Z,'Z�� Acres •,� Y�idth 9(��oHu� DepN� <br /> Suivey Subntitted: Yes�C_ No Date af Scuvey: <br /> Proposed Setbacks: <br /> Froru(Lalce): 5s Right Side: W y'3 <br /> Renr(Streei): 1$•(o Left 5ide: E 2t{• � <br /> Adjncent Sn•uctiu•es: N/A Gf/etln�id: N�fr <br /> Building Height: Def. Hgt. D. �C Peak Kgt. <br /> Got Coverage: � �S�`"r <br /> G,•acting: Scaff.4pprovccl Date: /�/� By: CourTcil r{pp�roval Date: <br /> Septic: Staff,�lpp�•oti�al Date: /� �� BY� <br /> Zonirtg File: # 6�-�06 6 Resofutiat: # Resolution Dnte: /2• /3 - � / <br /> Slioreland Dish•ict: �./�P5 <br /> Avg. Setbnck: �,►� Bluff 5etback: ��� Lot Cove1•age: /S• Y <br /> E�istin,� Pr•oposecf <br /> Hccr•dcover: 0-7�' � z•c. �2•� <br /> 75-250' ���^ <br /> Z50-500' <br /> 500-1000' <br /> Harcfcover Yariartce Reqtieired: Yes_ C No Date of Co�utcil Approval: / 2-i 3� o`( <br /> RE1l�lARKS(i�t Itouse): <br /> 31 <br /> ,. <br /> , . <br /> . < <br /> . �'. <br />