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; . . <br /> ' CHECK OFF LIST FOR TSSUANCE OF PERi1�iITS <br /> , � � FOR OFFICE USE ONLY <br /> ADD S OR;LEGAL: _ �(��3 N D2'f1-} s r�o r'7x d2 � . <br /> PID: <br /> DESC O�t OF WORK: �1-o�v� oA �� 2�P�,2 � <br /> ZO� G RE ti�BY: � --. DATE APPROYED: 9-Z-S� ~- <br /> BUII., TNG VIE�'V BY:. � DATE APPROVED: S-�z-g g• <br /> FEES O BE �CHA,RGED: • � � Misc. Fees Calculated By: <br /> PE T Yes e/' No ' <br /> PL�'��� Yes �/ No SEWF..R CONNECTION <br /> STAT SUR`��Cr� Yes_� No WATER CONNECITON <br /> TIGAT'ION-FEE Yes No PARK FEE <br /> SAC ; ' Yes No SITEINSPECTTQN <br /> N ber of AC Units OTHER (specify) <br /> -------------- � ------ ---- <br /> ZO� G C CK I,IST � Zoni.ng Distric�: C_/t- r c /lr0 G�1'-AN� .� <br /> Fire De artment: Post Office: School District; � <br /> Lot Ar : Sq.ft._ � Acres Width Depth <br /> Survey ubmitted Yes No Date of Survey: <br /> Propos Setbac : . <br /> ' Froat(LAke): - Right Side: � <br /> ' Rear(Stteet): Left ide: <br /> . Adjacentl Struccures: Wetland: <br /> Buildin Height: Def. Hgt. Peak Hgt. � <br /> Lot Co erage: <br /> Gradin : Staff pproval Date: � By: Council Approval Date: <br /> Septic: Staff Ap roval Date: gy; . � . <br /> Zoai.ng Flle: #� Resolution:# Resolution Date:� • <br /> Shorel d Dis�-i t: � � � <br /> Avg. Se back: Bluff etback: Lot Coverage: � <br /> � E� g Proposed � � <br /> Hardco er: 0-?5' <br /> 75 250' . . • � <br /> 250-500' . . • <br /> � 500-1000' <br /> . Hardco�er Variance Required: Yes No Date of Council Approval: <br /> r <br /> RE .� (�n house): � <br /> . � _-_ . . <br /> • ''' 26 <br /> , , j �ti�.,; . . <br />