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„ � <br /> CHECK OFF LIST FOR ISSUANCE OF PERtti.tITS <br /> FOR OFFICE USE ONL Y � <br /> ADDRESS OR LEGAL: y5�ic� �vo2n-t R/1� �ll. <br /> , � <br /> PID: <br /> DESCRIPTION OF YVORK: — , <br /> ------------------------------------- -;- -- - <br /> ------------------------------------ -- <br /> ZO1YItVGREV1Ey1�BY: DATEAPPROVED: `/- I- �� � <br /> BUILDItYGREVIEWBY: DATEAPPROF'ED: `1— �— os <br /> ---------------------------------- --- <br /> FEES TO BE CHARGED: tLlisc. Fees Calcecfated By: <br /> PER1�fIT Yes �/ No <br /> PLA�V REVIEGV Yes �/' 1Vo SEYVER GONiVECTIOrV <br /> STATE SURCHARGE Yes � tVo YVATER GO�1 tNECTlOtV <br /> . It�IVESTIG.4Tl01V FEE Yes tVo PARK FEE <br /> SAG ,Yes �vo SITE INSPECTIOtV <br /> Num6er of SAC U�tits OTHER (specify) <br /> ---------------------------------------------------------------------- <br /> 2'O�VIIYG CHEC,£�'LIST zoning Disd•icr: <br /> Fire Depni�tmerrt: Post O�ce: Sdtoo(District: _.. <br /> Got.�1ren: S9.ft• --- s{cres 6Vidth Depth <br /> Su�-vey Su6niitted: Yes� No Date of Sc�rvey: DN �'��-�: <br /> Propasecf Setbncks: � <br /> Froru(Lah.e): 24Z � Riglit Side: �2-1 sTn�et�r c: <br /> Rear(Sh•eet): /-� Left Side: I Z” � <br /> Adjncent Str•uctceres: iq-TS►� Y[retlnnd: N (�9 <br /> Building Height: Def. Hgt. �— Peak Hgt. � <br /> Lot Coverage: � I\( ��– — , <br /> Grac[ing: StRf)`':tpp►•oval Date: — gy: Cotcncil Approval DRte: <br /> Septic: Stnff�lpproval Date: ' BY� <br /> Zoning File: # '�_ Resolution: # ResoIc�lion Dnte: _ <br /> Sltoreland Dist�•ict: (/V� <br /> Avg.Setbnck: __ Bluff Setback: Lot Cover�age: <br /> � Esisting Proposed <br /> HRrdco�er: 0-75' <br /> 75-250' <br /> 250-500' � <br /> 500-l000' � <br /> Hardcover Variance Requir•ed: Yes No' Date of Cvuncit tipproval: <br /> ; .R,E11�If1R.KS(irt Isouse): � ''; <br /> ` : , .; <br /> , ; , <br /> , <br /> 31 - � <br /> F� '� � <br /> .. � <br /> , �, . <br /> . . ., , ' �� � ,, I .� : � � ` ` " ,; � .. 4 4 b.��, °� 'n <br />