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' ' . CHECK OFF LIST FOR ISSUA,��'CE OF PER�.I�II'I'S <br /> .� FOR OFFICE USE ONLY . � . <br /> ADDRESS ORLEGAL: C��l� 1'HTK-q (�1 I bE-1(�4Y��D5 lAe`1 P <br /> PID: <br /> DESCR�'IZON OF WORK: �Zc-Lw���-2-L IL.�T�.�� t C—'A vw� �u�., ��?-oo.�-� <br /> . <br /> , <br /> ZO�G REV��BY: DATE APPROVED: l!-� 'o� <br /> BUII,,DING REYIEtiY BY: D4TE APPROVID; [�- 7-�� <br /> FEES TO BE CH.ARGED: � Misc. Fees Calculated By: <br /> pERMIT Yes No :. <br /> pLAN REVIEW Yes _� �o S��YER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC•Units OTHER (specify) <br /> ZOti�IG CHECS LIST zoaing Districc: N� C <br /> Fire Deparcment: Post Office: School District: • � • <br /> Lot Area: Sq.fr. Acres � Width Depth <br /> Surve; Sub�itted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front(La.ke): Riaht Sid • � <br /> Reaz(Screet): I.efr Side <br /> Adjacent Structures: Vetland: • <br /> Buildin� Hei�ht: Def. H�t. eal:Hgt. <br /> Lot Covera�e: <br /> Gradino: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoaing File: # Resolution: � Resolution Date: . <br /> Shoceland District: <br /> Av�. Setback: Blufi Set ck: LotCoverage: <br /> Existin� Proposed <br /> 0 <br /> Hardcover. 0-75' ----- . <br /> 75-250' .-- <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Couacit Approval: <br /> REvIA,RKS(in house): <br />