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�CHEC�, p�F i.IST FOR ISSUANCE OF �E�'YIITS <br /> FOR OFFICE USE ONLY <br /> �DDRESS OR LEG�AL: � I � /�s��r.F c. 31�o re 'D� - -- <br /> PID: <br /> pESC�� <br /> ON OF WORK: � a C�1c1 b�,; <br /> , �� <br /> ---;�;Z; -- -------------------� <br /> --------------- c �� <br /> _ ---------- ------------__--_-- LP O <br /> ZO`yrNi G REVIEtiV BY: .�,�_ DATE � <br /> BUII�DING RE <br /> VIE�V BY: DA.T'E APPROVED: <br /> FEES TO BE C�-�GEA: � Misc. Fees Calculated By: <br /> P���T Yes No <br /> PLAN REVIE`V � Yes No SE�VE.R CO�INECI'ION <br /> STATE SURCHARGE Yes No tiVATF.�.CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO��G' C�CK LIST Zoning Districc: . <br /> Fire Dep3rcment: <br /> Post Office: Schaol District: � <br /> � idth ���� Dep�h SZ� ; � <br /> L,ot Area; Sq.ft• Acres : �'� � _-----_� <br /> Survey Submitted: Yes c1 No Date of 5urvey: � <br /> Proposed Setbacks: , f, <br /> Fron[(Lake): Ri�ht Side: � Wl�� h� , <br /> Rear(Street): Left Side: <br /> [ I 2� � <br /> yvu�cSS v./kv,A��C�., <br /> rPnt Cfrtl 1l r � `vP�!�`'�' <br /> c�.'Sj3.,..... C_1_Z"; <br /> er, Pea.I:Hgt. �j S�✓�eS � <br /> BuilclinJ Heigh[: DeP. Ho �`\1 �`� (��. 1�� I <br /> Lot Covera�e: <br /> g Council Approval Date: _ ' <br /> Grading: Scaff Approval Date: Y� <br /> Szp�ic; Scaff Appro�r�! Date: � �Y� �- <br /> Zoaing File: � Resolutioa: R _ Resolutior Da:e: <br /> Shore�a.nd Dis[ricc: <br /> � g!afr Setback: Lo:Covera�e; <br /> Avv. Setbac�_: <br /> � Proposed <br /> E�sti�o <br /> H�eco��er. G-7�' <br /> 7�-2�0' <br /> 2�C-�GO' <br /> �CO-1QC�' <br /> - ,-� ..:� . .,.. -�. <br /> �;� va �;t �.o�.. :-.��: <br /> �-??-�co�;e� 'v'z'.a�.ce ���u:;ed. �`e� . •- . � — <br /> F.�,1L-`�Ra�S (.�-nh��.v:): <br />