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, �.���`' � P <br /> � ��¢�°{ „ �+�. <br /> �C�iE��K pFF i.�IST FOR ISSUANCE O�' �'ERIVZIT5 <br /> FOR OFFICE USE ONLYr <br /> ADDRESS OR LEGAL: � �it� (/�� <br /> PID' G�/ aNS U� <br /> DESCRIPTIO,i O�'WOR�: � <br /> ZOYI�tG REVI.E�4V BY: �----�_______...___ DATE APP�OVED: <br /> gUILDING REV7EtiV BY: . . DA.TE APPROVED: <br /> FEES TO BE CHARGED: ^ Misc, Fees Calculated By: <br /> �E�T Yes No <br /> PLAN REVIEti�' � Yes No SE��TE.R CONNECTION <br /> STATE SURCHARGE Yes No �VATERCONNECTIOi�T <br /> INVESTYGATION FEE Yes No PARK FEE <br /> SAC Yes I�To SITEINSPECTION <br /> Number of SAC�Units OTHER (speci�y) <br /> ------------------ <br /> ------------------------- • <br /> ZpNI�IG C�iE.CK LIS�' zaning Discrict: �..�— . <br /> Fire Degartment: <br /> Past Office: School District: � ' <br /> I.�ot Area: Sq.ft. <br /> Acres �^/idch Depth <br /> Survey Submitted: Yes No Da[e oE Survey: <br /> Proposed Setbacks: , � � <br /> Froat(Lake): 75 �� Side: (�� <br /> wQS} CoaK-p1A�¢�—cm�rNPYw�dt� <br /> Rear(Streztj; 32� �:.eft S`de: �_ <br /> � Adjacent Structures: nI'a. Wetland: �r�Q'�� <br /> c�p'�'ZO <br /> Suil�lin� Height: Det, Hgt, Pealc.Hgt. <br /> Lot Covera�e: <br /> a Cau,::cu App:ov:l nat=: ' <br /> Gradin�: S�aff App:ov�1 D�te; _ <br /> J' <br /> Sepcic: S�afi Appro��ial Dace: N <br /> By; <br /> Resolution: n Resolucion Da:e: <br /> Zoaing File: R — <br /> Shorelz.�^d District' ��_ Lot Coveca�e: <br /> ;�vg. Setback: B�uff Se[back: <br /> Ecistito Proposed <br /> Hzdcover: 0-75' <br /> 75-2�0' <br /> 2�0-560' <br /> �00-1QC��' <br /> �� - ' ✓ �'�- -� rni,nril Ann-pVZ: _ <br /> ;='' �C: <br /> Z?r!,�v'��. . �".�C'_ . �_.. .._ . <br /> F.E�L=�R�� (i.nhoi�;e�: <br />