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' �C�TECK OFF i,IST FOR TSSUANCE OF �ERIYIITS <br /> FOR OFFICE U5E ONLY <br /> ADDRESS ORLEGAL: `,r�v� �c��� CJG�c�(`P ��UfL� <br /> PTD: - <br /> ]�ESCRIP'I.'ION OF WORK: � <br /> "�����'��..��'�� <br /> ��������'�������..�'���..���'�..����'��J`V Y <br /> ZOYING REVIE�V BY: ��l,V'VV�(.� -- pA'�'E APPROVED: ( I �'"� <br /> $UII�DING REVIE�V BY: ' 17AT`E APPROVED; �-s�o?i <br /> �`EES TO BE C�-TA.RGED: Misc. Fezs Calculated By: <br /> pE�T Yes ,/ No <br /> PLAN REVIEtiV � Yes _/_ No SEtiVE.R CO�TNECI'ION <br /> STATE SURCHARGE Yes �- No tiVAT�RCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No - SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ----------------------------------------------- <br /> --------------------------- <br /> ZON1.t�IG CIIE.CK LIST Zoaing District: ��� � . <br /> Fire Department: Post Office: School Dist ict: <br /> Lot Area; S .ft. J ���� Acres / •��.� Widch I � / / �V Depth <br /> q <br /> Date of Surve �'� U � <br /> Survey Submitted: Yes � No Y�V <br /> � �LV�D�� 1�,�� � <br /> Proposed Setbacks: �L--t' � <br /> Froat(Lake); Rioht Side: ,-���� � ,r, /n(�C�',,l <br /> � (N��,�w <br /> Rear(Street): Left Side: <br /> A�j3CAnt Crn1�nlr��; ZVeC�an�1: ������C.�/' " <br /> �( �� <br /> Builclin� Hei�t: DeE. Hgt. Peal:Hjc. <br /> Lot Covera�e: <br /> ' o• roval Date: I I � � ` �!` By: �,l/ Council Approval Date: I I ' I �'�V �Q <br /> GradLno. Scaff Arr <br /> Septic: Staff Approval Date: �/'�' �Y� ��� <br /> Zoaing File: f����� Resolution: n G����/I Resolution Date: � l ��v � <br /> Shorelar_d Dist:icc: ��I Y�_ <br /> Av;. Setback: B!uff Setback: L.otCove�ge: <br /> EListin� P:oposed <br /> a <br /> H3CriCo�er: G-7�' <br /> 7�-250' <br /> 2�0-Sd�J' <br /> SGO-1C}C0' <br /> �;� Da�e oi�Co�ncil App:ovz: ��� <br /> H��Ccover Va�i2nce Req�ired: Yes� � ^ <br /> RE�L=�Rk�S (in hou�e): <br />