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�CHE��K OT`k` i�IST FOR ISSUANCE O�F �ERi.�TS <br /> FOR OFFICE USE ONLY� . . <br /> ,�,pp�LESS ORLEGA.L: 3`Iqb Ly�Z��- �v�= <br /> PTD: <br /> DESCRIP'I�IO�T OF WORK: — . — <br /> --N a--_--_—._--_------ <br /> Z4�Ti`IG �'��'V BY: r DATE AP'PROVED: . <br /> � . . DA.TE APPROVED: I i-Zt - �� <br /> �LTII,DIN'G REVIEti� BY: � <br /> -------- --=---------- ---- ---;--- ----a culated By: ----------------------------- <br /> F'EES TO BE C'HARGED: Misc. Fezs C 1 <br /> PERMIT Yes _� No <br /> PLAN REVIEtiV � � Yes ,/� No _ SEWER COYNECTION <br /> STATE SURCHARGE Yes _� No �VATERCONNECI'IOi�1 <br /> II�IVESTIGATION FEE Yes No ,� PARK FEE <br /> SAC Yes No —� SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZON�i iG CT�CK LIST Zoning District: d �2 • <br /> ' Post Office: School District: • � <br /> Fize Department: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey 5ubmitted:� Yes No Date oE Survey: _ <br /> Proposed Setbacks: �Q �Sid ' � <br /> Froat(Lake): � � <br /> Rear(Street): Lcft Si : <br /> Adjacent Structures: tiVetland: <br /> Buil�lin;Hei�.t: Def, Hgt. _ Peal:Hgc. <br /> Lot Covera?e: <br /> Gradino: Scaff Approval Date; y: Council Approva?Date: _ ' <br /> Sep�ic: Staff Approval Date: �� <br /> Zoaing File: � _ Resolutioa: � Resolution Date: <br /> Shorelzr+d Districc: _ Lot Coveca�e: <br /> Avg. Setback: Bluff Setback <br /> Eustina Proposed <br /> Hz�caver: 0-75' <br /> 75-250' <br /> 2�0-500' --- <br /> 500-l OC�J' <br /> �: �� D��� nF�o�c�� a•PC�OVZ. <br /> �^1��l:COY�i `1�L'.�Co P�qui;� �:es .���� <br /> RE�L�Rk�S (in housel: <br />