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CHECIr OFFLIST FOR ISSUANCE OFPERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ ) �� Z ,�� �. 1 � �,� � �✓� <br /> PID: <br /> DESCRIPTION OF WORK.• ��¢, <br /> --------------------------- <br /> -------------------------------------------------------- <br /> ZONING REVIEW BY.• '-"--'-- <br /> G DATEAPPROv�D: p <br /> I3UILDINGRL*[�ILTVI3Y.• DATLAPPROi�ED: L -i6-o7 <br /> ---------------- --------- <br /> ✓----N�------------------------ <br /> FEES TO 13E CHARG�D: ------------------------------------- <br /> I,��IT, Misc. Fees Calculated 13y: <br /> Yes <br /> PLAN I�VIEW Yes� No SEWER CONNECTION <br /> STA7E SURCHARGE Yes � No I�VATER CONNECTION <br /> INVESTIGATION I'�� Yes No ✓ 1'ARK F�L' <br /> SAC I'es No� ,S7TEINSPECTION <br /> NumberofSACUrtits -PA,v��oqi� ,c,-z� -9� OTHER s eci <br /> ---------------------- (P .fY� <br /> -------------------------- <br /> ------------------------------------ <br /> ------------------------------ <br /> ONING CHECK LIST Zoning Drsd�ict: _��- ( a <br /> Fire DepartnrenC Pos!O tce: <br /> .f.r Scltoo!District: <br /> Lot A�•ea.• Sq.ft. ��I Z, Acres !1'idth ��. ��� <br /> Depth <br /> Sur•rey SuGmitted• }eS � ��o Dale of Surl�ey: S- 15��� <br /> Proposed SetGacks: � �l' <br /> � F��au(�sJcs�1.• 3�.'3 .{�i.gbJ Side: � � , <br /> Renr(�1c¢�j. �O* ��ide: l(�� <br /> AdjaceiJt Strucltmes: __�� 11'ella�rd.• �} <br /> I3rrilding Height: Def. Hgt. Peak Ifg1. <br /> Lot Corernge: <br /> Gr•adh�g: StafjApproval Date: � <br /> pY� _�_.� Cow�cilApprovulDate: <br /> Septic.• StaffApproralDate: I�� Q},. � <br /> � 7_oni�rg File: # ao'322.� Resalu�iar: # <br /> Resolutior:Ddte.• �O Q <br /> Shoi•ela�td Districl: �19CWD Pernrit: <br /> A>>g. Setback: Ijhrff SetGnck: Lot Coverage: <br /> A���ua2� 1-�►+5' SQ.-�I-- p�� % <br /> Ha�•dcover: 1y�" <br /> 75-250' �Z �� <br /> Z7.3 <br /> zsn-soo� __L��� _��_ <br /> ��� <br /> lfardcover Va�•iance Kequi��ed: 3''es iVo <br /> _�� Date of Cou»cil Approcal: 10 9 0 <br /> REMARKS(in lrotrse): i 1 C C)V�Q.r/ I z�S�`��pC� �IYVI1��c� -�a ZB�'t"�_ <br /> C �S •• v�r�rav�co ,v� �_ '7S Z'SC � <br /> J <br /> 33 <br />