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• ' � �CHEC� OFF i,IST FOR ISSUANCE OF i'E�.�ITS <br /> FOR OFFICE USE ONL�'� . . <br /> A.T�DRESS ORLEGAL: l � Na2 c./Lc�-� <br /> PID: <br /> AESCRIPTIO�T OF WORK: _�44p��o^'----------------------------------------------------------- <br /> ZO�G REVIE�V BY; DATE APPROVED: �Z D—l�C o <br /> gU)ZDIl�tG REVL'E�V BY: � � . . DATE APPROVED: �� -��-a w� . <br /> -------------- --- <br /> k'EES TO BE CHARGED: / Misc. Fees Calculated Sy: <br /> p�g�T Yes ✓ No <br /> PLAN REVTEtijT � Yes ✓ No SE`VER CONNECTION <br /> STATE SURCHARGE Yes � No �VATERCONNECI'IOi�T <br /> INVESTIGATION FBE Yes No J� PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC•Units OTHER (specify) <br /> ZO�G C�C� LIST Zoning District---��—��---- " . <br /> ' �- �— Post Office: `` L t School District: �l��� <br /> Fire Departtaent: � ` _ - � <br /> Acres 2 t �� ' Width //�-`��1 � Depth <br /> ����L.ot Area: Sq.ft. � _ - . /N�1 U. L�T <br /> (� �f��""�'vuT � <br /> Survey Submitted:� Yes � No Date oE Survey: � � � � � J�+,�'-u�'1 �r ° <br /> `T� uv�l <br /> r � <br /> Proposed Setbacks; �,�� �S.�N�, ' � <br /> Froat(�leej: Riaht Side: ' �C , <br /> � r <br /> N Reas(�eat3: � Left Side: � __ <br /> Adjacent Structures: � Wetland: /'" � � � <br /> �� � ..�- � G��!S� � <br /> Builclin�Height: Def, Hgt, .S �" Peak Hgt. � �,pe � <br /> �o ���� <br /> Lot Coverage: � <br /> Gradin�: Scaff Approvzl Date; l/�"�� �y•"�� Council Apprcval Date: <br /> �N� "" SC� Nfl7'� -C���tvcv�s `�D S�GN <br /> Sepcic: Staft Approval Date: D^2s v� �Y� � <br /> 5'�S Ttsn.� vt,PC�'✓a��=� �'G�.�r-«-,"j L <br /> � g�$Z°� ��'� r�� <br /> Zoaing File: R�j� Resolutioa: � s�3U \ Resolution Date: 1 _� 1�- <br /> �� <br /> Shorelzr_d Districc: �1-� —� <br /> Av;. Setback: Bluff Setback: �- IAtCoveca�e: <br /> Etistino P oposed <br /> �iardcover: 0-75' <br /> �s-25a� <br /> Z�o-sao� <br /> 500-1 G`C�J' <br /> r a •�- Z;'c:i2uCo G�nl:!C�C: �.25 '�Q � D3('- OF CQ��C'� ��c:0Y2�: <br /> ;'1�-�C0'� . -� <br /> F.E�L�S (in ho�se): <br />