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• �CHEC�K pFF i.�IST FOR ISSUANCE O�' �E�'�TS <br /> FOR OFFTCE USE ONLY <br /> ADD�tESS OR LE�AL: �( �7�l5 I�c7<�� S�^o�� '��iu - ; <br /> P�� v�r 5 tQ. <br /> I7ES CRIP'I.'ION OF WORK: l o o re-�. �`'`' <br /> �{.er�— -P—�{.�--------_S__u_'!.�_ltG. ---��= �Q__�!'- �^-'� - °r''i <br /> ------------ <br /> ------�giC1 _ tr�ct�r a�isl,�q <br /> Z0��1G REVIE�V BY: DATE APPROVED: �- 22 .�_ �' 1 <br /> BUII�DING REVIE�V $Y: <br /> DA.T'E APPROVED: i zg � <br /> � ----- --- ---------------------------=-------------�------------____ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> P��yuT Yes ✓ No <br /> � PLAN REVIE`V � Yes �/ Na SE�VE.R CONNECTTON <br /> STATE SURCHARGE Yes ✓ No tiVATER'C�NNE��O� <br /> INVESTIGATION FEE Yes No ✓ PA-RK FEE <br /> SAC Y'es No ✓ SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ------------- <br /> ------------------------------------ _ � <br /> �p� � G CH�CK LIST Zoaing District: l. - <br /> Fire Deg3rtm.ent: <br /> Post Office; School District: � <br /> Lot Area: Sq.ft. � 1 <br /> Acres Width Dep�h � Z.� <br /> �o �_ Date of Survey: Z. "Z9 "� a �� ��'� ` ` � <br /> 5urvey Submittecl: Yes ��� �,,�` <br /> Proposed Setbacks: <br /> Froat(Lake): OC RightSide: r'1d G�PY�G+L , �oi�'��o w��� , <br /> � � �� teQ��r� vAY�4h�1�� <br /> Rear(Street): Left Side: 1'�O <br /> 5 0 �'✓ <br /> ' no1�- da -�k ,1n�s��v+1� <br /> r���3CP�r Srni�t�llc=; <br /> h /G} tivetland: <br /> Buildin� Hei�t[: Def, Hgt, Peal:Hgt. <br /> � hq..s /4 � o vUh c►nq�r�r'��b�c.KB o <br /> Q Pvrt�Co w�1 �heres�sQ. lo��o�.r Q ID� I$ � rC MA/n�c�l' <br /> Lot Covera�e: <br /> ,,s p/rt1►ct,� �n c r�c�d �H iof �a c�t� . <br /> B Council Approval Date: <br /> Grading: Scaff Approval Date: __ Y� <br /> Se tic: S�afi Approvai Dace: � �y� W� <br /> P <br /> Zoaing F'�le: � Resolutioa: R________ Resolutioe Dace: <br /> Shoretand Dist:icc: � <br /> Avg. Setba�k: BI,�F`Serback: L.c�Cove2ge: <br /> E�st�eg Proposed <br /> brt,etc wAll <br /> ;-i�eco��ec; G-7�' t.V�C1oSt�✓Cr <br /> '15-ti0' u.�il no� �v�clrtaSd <br /> 2�0-5a� �,�,.d Cu.�e.� <br /> �CO-?C!C1�' ��►�t'� <br /> •a. '� � `V 2_12_.�.C2 Z?GU!i2�: i?> >�Q 'J�._ G'[ �v'.=�� :-`i_�, . r: -�C�eh✓�. ��G: . <br /> �':�C�O`'z: . 1 <br /> � LSt th <br /> �.��L'�R.T�S (inho��;e); o ec�- A�SCi �hCt� A\l ' t <br /> �,,,, 1g w i� <br /> ow►�4��hG+�� /� . <br />