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�CHEC�K pFF i,IST FOR TSSUANCE OF' �E��TS <br /> FOR OFFICE USE ONLY <br /> p,DDRESS aR LE�AL: L o w� <br /> p�; ,S ,•� ui¢.✓ � �/�✓� c wS�c- <br /> �E5CRIPTXO�T OF WORK Gx��.nd_� � ( c,nd <br /> ------------- <br /> _---------- -------------------- pATE Al'PROVED: e -ts-0-7 <br /> ZOY.T�G REVIE�V BY: , DA.TE APPROVED; 0"9. <br /> BUII�DING REVTE`V EY. � � <br /> �EES TO BE C�-TARGEA: ^ Misc. Fees Calculated By: <br /> PERNLIT Yes ,/� No <br /> PLAN REVIEtiV � Yes —� No S�VER COi�NECTlON <br /> � No _____ ��A�CONNECTION <br /> STATE SURCHAR.GE �-'eS ,�o � p�K FEE <br /> INVESTIGATION FEE Z'eS No _� STTEINSPECTION <br /> SAC �Ces <br /> � OTHER (specify) <br /> Number of SAC�Units ______________________________ <br /> ----------------------------------------- <br /> -------__ <br /> ZO! .1 CY CT�CK. LIST Zoaing District: �_�� . <br /> Post Office: Schaot District: � <br /> Fire Depart.meat: . s� <br /> Acres Width � Depth 3J3 <br /> I,,oc Area; Sq.ft. . <br /> Survey Submicted: Yes � �� <br /> Date of Survey: � <br /> Proposed Setbacks: �� �t Side: �5S� � <br /> Front��): _ ��o� ' <br /> ao� • <br /> Re ar (St�:�at): (ZS� � -La€t S ide: 75-� <br /> �g�r Crn n r ,; ti�1?r1a.�r�j; <br /> Ad;a ��-1-z , <br /> Z �� �-� Pealc Hot. 3 d� <br /> Buil�lin� Hei�t: DeF. Hgt, � � _ <br /> Lot Ccvera�e: �lL <br /> Gcadin�: Scaff Apgroval Date: <br /> By; CouncL Approval Date: ' <br /> Szp[ic: StafE Aporoval Dace: �y� <br /> Zoe�n� F� � �__. Resolutioa�. r____.__ RP`atu�ion Dz:e: <br /> �l_: <br /> � LS 350 � 7C90� �,r� �aka.��nv s►dd�hcro►1 4wrdcsat.i �+rapos�d <br /> Sherela�:d Distric�: �P L,;,�Coverz��• A+�d iar*Std eM <br /> B�,uf�:Setback: �" <br /> Av�. Settiac`:�:. Proposed eo�nn�(`s obltQut� <br /> �,�sc�c� latv�ls��'lo.�dco►�-v <br /> - <br /> a�(�.�cco��Pr�. G-i5 -------- ls h0�l.ldt.SSlkf.. <br /> 7�-�]�' -- ------_. <br /> Z,'V'��J^J� - --J <br /> .l�' �^1:��; <br /> � . :�:v' �,�,--__ <br /> � �`r1 J:.._ V. l_.V L�-�- .' - " _" <br />. �.7'C;'..'."1.',"'C ti Z�._�.�.� �'-ti�:�'..Z�!. i•Z� • � - . <br /> �`�` L�.R��� �L:ho�,;=�� <br /> L.�._7 <br />