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ZONING REVIEW FORM
CODE COMPLIAt CE DIVISION RESIDENTIAL ZONING REVIEW FORM Job Address eM a,25o,-0 I l UL-5 Permit # 64g)) -D 446 LJ' Flood Zone Information El Alt Development Fees Height Requirements 0 Historical Properties LJ Nonconforming Use or Lo ,/"Nonconforming Structures L Driveways Setbacks LJ Survey requirements Site Plan Resolutions Flood Certifications 8 Lot Splits Flood Way - COBRA Wetland Identification Shoreline Protection Temporary Uses & Health Department 8 HIRD Issues 2/Utility Hook Up © Impact Fees -Easements LDS Vegetation Permit received ❑'Lot coverage and square footage llJlb� NOTES: El Lot and Block Owner Information 1, Contractor Information �General Contractor License L�� /Sub Contractors License I�-" Signatures [ NSection, Township and Range Map Number ©Zoning and Land Use Lot Coverage SCANNED BY ET'FCC Code St Lucie County Legal Description Plan review for Bed and Bath VO'C tion —Mainland 12 etc 0 Electric Ho ouse) Road Frontage (County or Private ❑/JoPot & House Dimensions b Description Jurisdiction 0 Warranty Deeds ©Zoning & Land Use ❑ .Plat Books 1 st Review Date %Q / )l /D( 2nd Review Date _/ / Final Review Zoning Examiner Name �0])EC Vo,eRFyg k Signature REVISED 6r1/06 HY DMG '