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•� � . CHECb OFF LIST FOR ISSUA�.�'CE OF PERLti1TTS <br /> FOR OFFICE USE ONI.Y . ' • <br /> �DgESS ORLEGAL: `'ISW O NOQ Th �4Rw� Dll� �rP <br /> PID: <br /> DFS CRIPTION OF�'VORK: �4 d r,� � n o N <br /> . . <br /> ZOr�G REVIEti�BY: DATE APPROVED: �_I`vt. . <br /> BUILDI�'G REYIE�BY: . D�.TE APPROYED• 5- I <br /> FEES TO BE CB4RGED: biisc. Fees Calcula[ed By: � <br /> PERMIT Yes �/ No �• <br /> pl,p,N gEVIEW Yes c/ No SEW�R CONNECTION <br /> STATE SURCHARGE Yes ✓ No �ATERCONNECTION <br /> Ii�,'VESTIGATION FEE Yes No PARK�EE <br /> SAC Yes � No SITEINSPECTION <br /> Number of SAC•Unics OTHER (specify) <br /> ZO`�I:1IG CH�CK LTST Zonin�Districc: GR-IA _ . <br /> � ent: wtw�rv� Post Office: r✓vo✓�v.4 School District: ��s"�/'�1� ' <br /> Fire Departm • <br /> Lot Area: Sq.fc.�d C H�n�trC Acies ' Widch Depth <br /> gurve;f Sub�itted: Yes,�_ No Date of Survey: oN �1 L'�°-9 0 <br /> Proposed Setbacks: , - <br /> Front(La.ke): 2?S� } Ri�ht Side: ' I.SD <br /> . � � <br /> Rear (Street): �ua �' Lefr Side: (.S <br /> Adjacent Structures: '73� �Vetland: c� .l� • <br /> Buil�in�Hei�ht: Def. H�t. p.K., Peak Hat. o.�� <br /> Lot Covera�e: N I� � <br /> Gradin�: Stah Approval Date: _ gy: _ Council Approval Date: <br /> Septic: Staff Approval Date: '—' By: _ <br /> Zoain;File: � i Resolution: � Resolution Date: • <br /> Shoretand District: N J ��Ca�•em�e: <br /> Av?. Setback: Btufi Setback: • <br /> E���g proposed <br /> � Hardcover: 0 75' -- � <br /> 75-250' <br /> ti0.500' <br /> 500-I000' - <br /> Hazdcover Variance Required: Yes No _ Dace of Council Aoproval: <br /> gE�,�;S (in house): <br /> 7 <br />