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�CHEC� pF'F i�IST FOR ISSUANCE OF �ER1�fITS <br /> FOR OFFICE USE ONLY <br /> �pDRESS OR LEGAL: B O�.S L ;n.DQ� ��� <br /> PID: .� ,;� �t,b��.� <br /> ]DESCRIPTION OF WORK: 2 n�✓� S ocz ✓�✓J� � ,— , �N <br /> --_--------- <br /> ----------- <br /> --------------------------------- <br /> ZOY.I�G REVIE�V I3Y: ------^________.--- pATE APP�OVED: � ' �; .C�Z <br /> �UIZDII�IG REVIE�V $Y: DA.TE APPROVED; y� �S-o7 <br /> FEES TO BE CHARGEA:` r � Misc. Fees Calculated By: <br /> P���T Yes ✓� No <br /> PLAN REVI.EtiV � Yes ✓' No SE�VE.R C��INECTION <br /> WATER CONNECTION <br /> STATE SURCHARGE Z'eS � N0 ✓ p��{ FEE <br /> INVESTIGATION FEE YeS N0 SIT'EINSPECTTON <br /> SAC �'es No �/ <br /> Number of SAC�Units OTHER (specify) <br /> -----;�-'---� <br /> ----------------- r <br /> ZONTi�IG CHECK LIST Zoning District: `.1� I �. <br /> Post Off'ice: Schaol District: � <br /> Fire Deparcment: r <br /> L,ot Area: Sq.ft. <br /> Acres Widch ( �o. �� / Depth ��% ± <br /> Survey Submitted: Yes ✓ No Date of Survey: I`� U <br /> Proposed Setbacks: x��'�'� • <br /> Fron[(Lake): �lc� ctiv=r,�a�.__ R��Side: l 2.� , <br /> � �1 av�"f" <br /> Rear(Street): �"1�' ����i� �Side: �1G C���� � <br /> �,.,_ �,�IP tl a n rj; --' <br /> ��j3CP�r Crn1��1r�_; _ _ <br /> Builain� Hei�t: DeE, H�t, Peak Hgt• <br /> Lot Covera�e: <br /> Q; �oval Date: /'��/� By: Council Approval Date: ' <br /> Gradino S�aff App' <br /> Septic: Scaff Approv� Dace: �� ��' <=—�- <br /> , o File. � Resolutioa: n___ Resolu�ion Da:e: <br /> Zoe�n,, __ <br /> ShoCela�Zd DiSI:i��: �// <br /> p,!uf�Setback: L.o:Cove2.gz: <br /> Av�. Setbac`F: n� -�wM�,s-____ Proposed <br /> Etsting <br /> Ha�cco��er; G-7�' ---- <br /> 7�-2�0' �.�,1� — <br /> 2�C-�l�J' , ,� � <br /> �CO-1C�C�' 7� <br /> .� _ � _�,,_, <br /> v �;� U� G.`�.Q'��� .-:� _. <br /> �-:a-cc.o�.e� `v'z`:�r..ce R�quiied: ,e� •` - <br /> F�:�L�a�ti (inho�e): <br />