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, . <br /> + CHECK OFF LIST F01Z ISSUANCE OF PElzt'�.tITS � <br /> FOR OFFICE USE ONL Y � <br /> ADDRESS OR LEGAL: I 3 n vtN4�✓o� C ►�� <br /> PID: <br /> DESCRIPTION OF YVORK: ��� <br /> ------------------------------------ <br /> ------- ------------------- <br /> ZOtVItYGREVIEtf�BY: DATEAPPROVEl�: � �l- Y-os� <br /> B UILDIiYG RE VIE W B Y: D�!TE APPR 0 6'ED: _y-�/-o s <br /> ------------------------------------------ -- <br /> FEES TO BE CHARGED: hlisc. Fees Cc�tcacicctecl By: <br /> PER1�Ill' Yes �/ IV o <br /> PLAN RET�IE�V Yes ✓ 1Vo SEYVER GO�VtVECTION <br /> STATE SURCH.4RGE Yes_� �Vo yV�1TER COt1 tNECTIOIY <br /> IIVVESTIGATION FEE Yes �Vo PARK FEE <br /> S�lC .Yes 1Vo SITE INSPECTIOtV <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------- <br /> Z'ONING CHECb�LIST Zor�i�tg Dish•ict: <br /> Fir•e Departrnent: Post Off ce: Scl�ool DtsG•ict: _.. <br /> Lot Area: Sq.f?. Acres 6Yidth Deprh <br /> Siervey Su6�riitted; Yes_� No Dc�te af Scuvey: <br /> Pi•oposec(SetbacJs: �;`� <br /> Froru(Lake): �yS� Rig/it Side: I 3v .�:� <br /> Rena•(Sh•eet): �25 Gef!5i�(e: �SS �� <br /> Adjctcent Structur•es: '-�� Glretlnnd: N Lrf� <br /> BicildingHeight: Def. Ngt. NlA PeRkHgt. NIA <br /> Lot Coverage: � N 1i4. <br /> Grnciin Sta A roval Date: N-'1-o � By:�c� . Coz�ncil Approvcct Date: �— <br /> 8� � PP <br /> Septic: Stnff.�pproval Dnte: �/� BY� <br /> Zonii:g File: # — Resolution: # Resol«tion Dnte: <br /> Slaorelancf Dist�•ict: N v <br /> �tvg.Setback: BIc�Setback: Lot Coverage: <br /> � Esistiag Proposed <br /> Hc��•dcover: 0-75' <br /> 75-250' � __ : <br /> 150-500' __ � <br /> 500-1000' __ <br /> Hardcover Variance Requit•eci: Yes No Date of Caeutcil Approval: <br /> .S,E,112,ARKS(i�r:;lsouse}: , <br /> � <br /> 31 . <br />