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^ CHEC� OFF LIST FOR ISSUA��tCE OF PERI�IITS <br /> FOR OFFICE USE ONL <br /> :�DDRESS OFcLEG:�i.: �Z�S c.Y�_�-- <br /> PID: <br /> DESCRIP1ZOti OF jj'ORI�: GR�biNv <br /> DATE APPROVED: Z=z�-S,� <br /> ZO`'L`G REti�v BY: DATE ?�PPROVED: - <br /> BL�II.DL\G REti�tiv BI'� "— <br /> FEES TO BE C�-L�.RGED: <br /> (� � y��F�..s Calculated By: <br /> PERtifIT Yes ✓ �to _� <br /> Yes ti'o c�- SEtiVER COt�NECTION <br /> PL?�N REVIE� �10 v- WATFR CON'�tECITON <br /> STATE SliRCH.-�RGE Yz5 vo �, P°�K �E <br /> INVESTIG:�TIOy FEE Z'�S vo � s� INSpECI�pN <br /> SAC -Yes — pTHER (sPe��Y) <br /> Numoer of S�C Units ___ <br /> ZO\�G CHECI� LIST zonin�Discricc: <br /> Shore�and Discrict: <br /> 'PostOffice: School Dis�`icc: <br /> Fire Depar[menc: � ' <br /> Lot Area: Sq.h. Acres <br /> Width �, eP� <br /> Yes :�To Dac of Surve�: <br /> Survey Submicced: / / � <br /> i � <br /> Proposed Secbacks: Ri�� �de: � <br /> F:ont (L.al:ef:��.r � <br /> i i <br /> Re� (Street�` i I.e Side: � <br /> , � ' ; <br /> . ' '' Wetland: j <br /> Adjacenc S�ructures: i t <br /> � � <br /> ' � 1�ot i <br /> Buildiag Heighr. ,Def. Hgt. �I r� Peakr�-I, • .._.._.___._..__..__.._. <br /> � <br /> ; � / Lot Covezage: ( <br /> _�Bluff etback: i <br /> Avg. Setbacic: , �� ( <br /> '' i ` Proposed � <br /> ! j Exis � � / <br /> � ' / _ s <br /> Hardcover. � �-�5� ! ---f------- % <br /> % 75-250' ' �.-- � <br /> �50-�00' � �— ' <br /> 500-1000' rI i <br /> � � <br /> u�, Date of Council �,pprov : <br /> Hardcover Variance Req � '�'� <br /> . / � D roval Dace• By: Council �,pprov Dace: <br /> Grading.�Scarf �._P ' ` <br /> Sepcic: Scaii �pP <br /> roval Dace: By: <br /> ZOII7'.IIa File: T 21 O Z <br /> Resoiurioa: : Resolution Daze: <br /> gE�tiiA.RKS (in house): <br /> . � 26 <br />