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I ' • • . <br /> �I3EC� OFF i�IST FOR ISSU.ANCE DiF' i'ER►.1�ITS <br /> FOR OFFICE USE ONL�'� � ' . <br /> A,DDRESSORLEGAL: 2��5 1<e11,e 1�w <br /> PID: <br /> DES CRSPTIO�T OF'vV'OR.F�: ��N� . - <br /> ______.._---- ------ <br /> -------�_--__----------------- <br /> ZOY .S�i IG RE'V'IE�V BY: N AA.TE APPl30VED: . <br /> � . . DA.TE APFROVED; i r • 2� o'c� <br /> gtTII.,DING RE�LE�V l3Y__ __--_ ---�-----------------------=------------------------------ <br /> k'EES TO BE CHA.RGEA: Misc. Fezs Calculated By: - <br /> �E�T Yes �/ No <br /> PLAN REVIEtiV ' � Yes � No SE��IER CO�INECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTOi�T„ _ <br /> INVESTIGATION FEE Yes No � P�K FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> �ONit�TG CTI�CK LIST zaning Discrict: _N�� G__�'�C�Q . <br /> U <br /> ' Post OfFice: School District: • ' <br /> Fire Degartment: � <br /> Lot Area: Sq.ft. Acres ' Width Depch <br /> Survey Submitted:� Yes No Date oE Survey: <br /> Proposed Setbacks: • : <br /> Froac(Lake): Ri�t Side: , <br /> Rear(Strezt): Loft Side: <br /> Adjacent Structures: etLand: <br /> Suil�lin�Hei�p.t: Def. Hgt, Peal:Hgt. <br /> Lot Coveraae: <br /> Grading: StaEf Approval Date: <br /> gy�; Cauncil App:cval Date: _ ' <br /> � <br /> Sep�ic: Staff Appro'/al Date: �Y� <br /> Zoaing File. � Resolutioe: � Resolution Date: <br /> Shorelznd Discrict: _ I.,ot Covera;e: <br /> Av�. Setback: Bluff Secback: <br /> E�.istina Proposed <br /> Hz�dcover: 0-75' _ - <br /> 75-25Q' <br /> 2�0-500' <br /> 500-1 G'C�' <br /> Zar�COt�: �;'c:i2IlC� G�.^�L:ti��: ;25 ,r`� D3:_ n�C'OlL7CL APFrOVZ: <br /> RE�L�g�;S (inhouse): <br />