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, CHECK OFF LIST FOR ISSU.qNCE OF PERMITS <br /> F R OFFIC� USE ONLY <br /> ADDRESS OR LEGAL: _ ,' � �l � L �,,,� � �� �� <br /> PID: <br /> DESCRIPTION OF iT�ORFi: A q�, Q�, <br /> ZO.NINGRET�IEK"Bf:• _ M� Y DATE.APPRDifED.W � <br /> B UILDING RE['IET�'BY: r — DATEAPPROVED: 6 • y• o� <br /> FEES TO BE CHARGED: Misc_ Fees Calculated By: �Y ^^� <br /> PERMIT Pes �/' No <br /> � PLAN REI�IEN" Yes �/ No SEYT'ER CONNECTION � <br /> STATE SURCHARGE Yes � No Yi'ATER CONNECTION <br /> INVESTIGATIOI�'FEE 3'es No �/ PARK FEE <br /> SAC �'es No �/' SITEII�'SPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZOIVING CHECIi LIST ZoningDistrict: L. —� �� � ���� ~ �w � <br /> Fire Department: Post Ofj?ce: Schoo7 District: <br /> Lot Area: Sq.ft.��'�Acres YVidth Depth <br /> Survey Submitted: 3"es� No �•d �"�'A/w� <br /> Date of Survey: _'�Q-- ���w SGl��!- <br /> P�roposed Setbaclrs: � F' � <br /> Front�ake�: � �irght Side: ��+ <br /> ♦ /� �" <br /> Rear(S�res��, 80+ ,befrSide: _�77/Ot/�Q(��p r/Ctl.� <br /> Aajacen[Structures: h� N'etfand: n/,� <br /> BuildingHeight: Def Hgt. PeakHgt. (��rqetG 1$ A� bA$Q�'N�,r, <br /> Lot Coverage: 7J�d � �Q�'C-� <br /> Grading. StaffApproval Date: B}': Council Appr-oval Date: <br /> Septic: StaffAPProval Date: , � , B�� (�� . ' . . . - <br /> Zor�ing File: # Resolutioi:: ;' Resolution Date: :� <br /> Shorelaivd District � MCGfD Pe�•mit: <br /> Avg. SetbacJ� p1 Biz�Setback k pr LotCol�erage: �� �G <br /> Eaisting Proposed <br /> Hardcover: 0-'j' — �. <br /> ?S--'�D' �"' .�- <br /> '�0-.i00' � , <br /> soo-�000� �s� rallow�ca a�,.ox. g,,fo� <br /> Ha�•dcover I ariance Required: I'ec No � Date of Cozn�cil.9pproval <br /> RE' ARIiS(in hnuse): (���-�2C,k, CC/V1/12ChV1 <br /> Iw o n1��ltd e . ��� <br /> �L p 1 owe c! 7 - 40S 3 p hu.�s w o��,, <br /> +iws`/qA.,�r�a./dSs�.c� 17SU <br /> r� dccic Zt (o �� <br /> -{�rw� Si�nw�11C, <br /> � <br /> c!r'�uc�.v�o.c� I,�b <br /> 3,s'o lo <br />