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� <br /> � , ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERttiIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: IC�oS HvNTt=ARv►^ 2aA� <br /> PID: <br /> DESCRIPTION OF yt�ORK: 3o x�o pcc.ess o� sr M►c�v� <br /> ------------------------------------- ----�- ------------------------------------------------ <br /> ZOtl7[V G RE VIE ti�B Y: c�.— DA TE APPR Q VED: /- S/- � 5�' <br /> BUILDItVG REVXEW BY: DATEAPPR06'ED: I- Y-o S <br /> -------------------------------- <br /> FEES ?'0 BE CHARGED: tYlisc. Fees Calczclated By: <br /> PERrtifIT Yes � No <br /> PLAN RE I/IE GV Yes � �Vo S,�YVER CONiVECTION <br /> STATE SURCHARGE Yes � 1Vo tiVATER COt tWECTIOtV <br /> ItVVESTIGATION FEE Yes tVo PARK FEE <br /> St!C Yes No SITE NSPECTION <br /> Nunzber of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONIIYG CHECb'LIST Zor�ing Disti•ict: R R-l I�k <br /> Fir•e Depa��hnent: Post Office: Scliool District: _.., <br /> LotArec�: Sq.f't. �2`b�l Acres 2,gOS 6Yidtlz `1�12 Depth <br /> S�crtiey Si�brriittecf: Yes_� No Date of Str�veti�: 7"`��� <br /> Proposed Setbc�cl.s: � , .� <br /> F�•orit(Lake): `1 a Riglit Side: 3 d <br /> Renr(5h•eet): �lj� Geft Sir(e: �(�(I � 'F <br /> Adjc�cent Stre�cteu•es: 1�'t� , YVetlmtcf.' N�ll- <br /> Building Height.• Def. Hgt. I(� � Peak Hgt. ( � � <br /> Got Coverage: � N�/� <br /> Gracfing: Stc�ff Approval Date: By: Courlci!Approvc�!Dc�te: <br /> Septic: StRff Approval Date: —' BY� <br /> Zaiir:g Fife: # O'�!-3c�Y� Resola�tion: # Resolc�tiorz Date: /c� •2S-O�/ <br /> Slioreland Dish•ict: /� <br /> Avg. Setbnck: Blc�ff Setback: Lot Cover•age: <br /> Existing Pr•oposecl <br /> Hctrdcover: 0-7�' <br /> 75-250' <br /> 150-500' <br /> 500-1040' <br /> Hc�rdcaver Yaria�ice Reqccir•ecf: Yes No Date of Cou�:cil Approval: <br /> REMARKS(i�t l:otcse): <br /> 31 <br />