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. <br /> . CHECK OFF LIST FOR ISSUANCE OF PERt1�IITS <br /> FOR OFFICE USE ONL Y � <br /> ADDRESS OR LEGAL: 7�10 N o��"� A2wi A� <br /> PID: <br /> DESCRIPTIONOF YVO.RK: NEI�J � -��5 <br /> ZOtYItVG RE ~ DATE APPROVED: �_�� �s -_' <br /> -- -VIE YY B I`:-----�------ ------------- � , <br /> B UILDING RE VIE W B Y: Dr�TE APPR�6'ED: � <br /> ------------------------------- ------- <br /> FEES TO BE CHARGED: hfisc. Fees Calccclated By: <br /> PER1btIT Yes .� No <br /> PLAN REVIE6V Yes �/ No SEWER GOtViVECTIO�V <br /> STATE SURCHARGE Yes � tVo tiT/ATER GO�Vt�IECTIOIV <br /> � ItVVESTIGATlON FEE Yes �Vo � PARK FEE <br /> SAC ,Yes No _/ SITE INSPECTIOtV <br /> Ntunber of SAC_U�iits-�'�M�OFA���9 F^��"� (�¢�' OTHER (specify) _______-------- <br /> ----- --- L=�'2'r _=�Z]�---��=-'-�--�s------------------------------ <br /> Z'O�VIIYG CHECh'LIST Zonirtg Dish•ict: <br /> Post O �ce: Sclxaal DisA•ict: _.. <br /> Fire Depnrtrner�t: ff <br /> Lat.�Lt•ea: Sq.ft. �S �1�c"� Acres •8� <br /> GVidtft Depth <br /> Sccrvey Subtriitted; Yes X No Date af Sc�rvey: 3-1�'0� <br /> Proposed Set6nclu: �.� <br /> �re�nt(Gah.e): �05' Rig/�t Side: � <br /> �4atr(Sn•eet); i�3.s Geft Side: 3b•`1 <br /> Adjncent Structures: Wetlanc{: — <br /> Building Height: Def. Ffgt. 28�5 Peak Kgt. 3b•5 <br /> 8J � <br /> Lot Coverage:� . <br /> Gracting: Staff App►'oval Dccte: Bv:; Counetl Approvc�l Dc�te: "— <br /> Septic: StaffApprouc�l Date: N�� BY� <br /> Zoni�:g Fife: # - Resolutio�s: # � Resoli�tion Dnte: � <br /> Sltorelanc{Dish�ict: v,r s <br /> Avg.Setback: O\ Bluff Setback: N�l4 . Lot Coverage: �% <br /> � Esisting Propased <br /> Har•dco�er•: 0-75' �S —— <br /> 75-250` . 3H•9 Z3'� , <br /> ZSO-S00' 3� Zg��-- <br /> 500-!000` <br /> Kar•dcover Variance Requireci: Yes No„�;_ Date of Cocincil Approval: <br /> .REMARKS(in:hoccse): . <br /> 31 ' <br />