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. , _ . . <br /> � �C�IE�� OFF i,IST FOR ISSUANCE O�' �ERMxTS <br /> FOR �FFICE USE ONLY� � . <br /> A,pDRESS OR LEGAL: �5 S�C.o C3S �n � �-�- �zo�D <br /> PID: <br /> DESCRIPT'ION OF WORK---���z L-�--�`-'�`---���s'�------------------------------------- <br /> ZO�IG REVJE�V BY: N � � DATE APPR.OVED: <br /> - DATE APPROVED: 2 -�z.- � <br /> o � <br /> BUII�DIi�iG REVIE�Y BY: • . <br /> FEES TO BE CHARGED:� Misc. Fees Calculated By: <br /> P�g�T Yes ,/ No <br /> PLAN REVIEtiV � � Yes ✓' No SEti�TER CONNECTION <br /> STATE SURCHARGE Yes �/ No �VATERCONNECTTON <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No, �/ SITEINSPECTION <br /> Number of SAC•Units OTHER (specify) <br /> �pY�TG�CHE.CK LIST Zani.ng Districr. N o G t-�A�Ge . <br /> � Post Office; Scl�ool District: • ' <br /> Fire Deparcment: • <br /> I,oc Area: Sq.ft. Acres ' Width peP� <br /> Survey Submitted:� Yes No Date oE Survey: <br /> Proposed Setbacks: . • ; <br /> Froac(Lake): Ri�t Side: , <br /> Rear(Street): Left 5ide: <br /> Adjacent Structures: �Vetl . <br /> auil�lin�Hei�it: Def. Hgt, Pe - Hgt. <br /> Lot Covera�e: <br /> Gradina: S�aff Approval Date: By: Council Approval Date: ' <br /> Septic: 5taf[ Appcoval Da[e: By: <br /> ZQ�? ��e. R _ Resolution: Resolution Date: <br /> Shorelzr:d District: �t Covera�e: <br /> Avg. Setback: BluEf S back: <br /> E:cistino Proposed <br /> Hzdcover: 0-75' <br /> 75-2�0' <br /> 2�Q-5Cb' - <br /> soo-icc�� <br /> �,• �f�'ni��ril 4nI;;0Y�: <br /> �i��::cote: V�:ar:c.� v�yu!rec: ':es •�'o " ' � <br /> F.E�L:�;S (inhouse): <br />