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CHECK OFF LIST FOR XSSUAtVCE OF PER�ti.tITS
<br /> FOR O.�'FICE USE ONLY •
<br /> ADDRESSORLEGAL: 4Z�5 NDRITI SH-oi'r.�` /J�2.
<br /> , ,
<br /> PID:
<br /> DESCRIPTIOtYOF Y[�O.RK: �. ''veC-
<br /> ---------------------------------- -------------------------------_ _
<br /> ZOtYItVGREVIEyVBY: DATEAPP�ZOVED: 2 1��oS '
<br /> BUILDXIYG RET�".EW 13I', DATEAPPR06'ED: 2- �?-os
<br /> -----------------------------------_
<br /> FEES TO BE CHA.RGED: .�Iisc. Fees Calccclated By:
<br /> pE�,j� Yes � No
<br /> PLAN.RET/IEyV Yes_,� tVo SEYYER GO�ECTION
<br /> STATE SURCHARGE Yes �/ tYo YV'ATER GOtVtVECTlOtV
<br /> � IiVVESTIG.�t TlON FEE Yes No ✓' P�iRK FEE
<br /> StJ.0 .Yes tVo � SITEINSPECTIOtV
<br /> Ni�mber of Sf1C Units OTHER (specify) '
<br /> 2'O�YIlYG CHECh''LIST Zon�►tg oisa•Lcc: �vo c H�4>vC'.�,p
<br /> Fi1•e Deparhnent: Post O�ce: Schoof Dtstr•ict: �..
<br /> Lot.�rea: Sq.jt. �1cr•es G�icith Depd�
<br /> Survey Su6tnitted: Yes No Date of Seuvey:
<br /> Proposect Setbacks:
<br /> Frorit(La�e): Right Side:
<br /> Rear•(Sn•eet): Left 5ide:
<br /> Adjncent Structures: etland:
<br /> Bitilding Heiglit: Def. Hgt. Peak Kgt.
<br /> Got Coverage: �
<br /> G1�ading: Staff.4pprovalDRte: By: CouncilrlpprovalDate:
<br /> Septic: Stnff.�lpprot�al DRte: BY�
<br /> Zoning File: # Resolution: # Resotcction Date:
<br /> Slioreland Distr•ict:
<br /> Avg.Setback: Bluff Set ck: Lot Coverage:
<br /> � E.risting Proposeci
<br /> Hardcover: 0-7.5' ,
<br /> 75-250'
<br /> 250-500' ��
<br /> 500-1Q00' ;;
<br /> Hardcover Variance Reguired: Yes No Date of Co�inci�'�lpproval:
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