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i <br /> N <br /> CHECK OFF LIST FOR fSSUAtVCE OF PER1tiiITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y2S OxF'oR✓.� RA�d <br /> PID: <br /> DESCRIPTIONOF y�ORK: �OA�'nON Rrwc�e� <br /> ------------------------------------------------- <br /> ZOtYINGREVIEtvBY: DATEAPPROVED: i�- � -�y <br /> B UILDIivG.RE VIE W B Y: DA TE APPR O�'ED: ��- � -� �_ <br /> ------------------------------------------ <br /> FEES TO BE CHARGED: hlisc. Fees Ccciccclatecl By: <br /> PERttifIT Yes � No <br /> PLANREVIEGV Yes �/' rVo SEYVER COtViVECTION <br /> STATE SURCHARGE Yes � 1Vo tiV�iTER CO�ViVECTIOtV <br /> It�IVESTIGATIOtV FEE Yes tVo _f� PARK FEE <br /> Sfl C Yes [Vo_�� SITE NSPECTION <br /> Nacmber of SAC U�iits OTHER (specify) <br /> ----------------------------------------------------------------------------- <br /> ZO�VI�YG CHECb'LIST Zoriing Disrr•icr: <br /> Fire Deparhnerrt: Post Office: School District: _.. <br /> Loa.�lrea: Sq.ft. Acres 6Yidth Deptli <br /> 5auvey Subniitted: Yes�_ No Date of Scnvey: /d'�g "�`f <br /> Proposed Setbncl;s: � 6 2 <br /> Froirc(Lake): Zo S Riglat Side: <br /> Rear(Sn•eet): �`�Z� Geft Si�fe: 3 0 <br /> Adjacent Str•uct�u•es: '" 4�etla�td: — <br /> Builciirrg Heiglit.• Def. Hgt. O •� Peak Kgt. —� <br /> Lot Cover•age: � N�/¢ <br /> Gr•ading.• Stc�ff Approval Date: "— By: Counci!Approval DRre: <br /> Sepcic: Stnff;lppr-ova!Date: -- BY� <br /> Zoning File: # —' Resola�tio�z: # Resolution Date: <br /> Slior•eland Dish•ict: �t �PS _. <br /> Avg. Setback: c� -{� BluffSet6c�cic: N/A LotCoverage: <br /> Eiisting Proposect <br /> Hctrdcover: 0-7�' � v <br /> 75-250' 9•3 g-`�' <br /> 250-500' �•�� 2Z'� <br /> 500-l000' <br /> Hardcover• Var•iafice Requirecf: Yes No Date of Cociiicil Approval: <br /> .RE�I�IARKS(in house): <br /> 31 <br />