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� � ` • . � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRES� OR LEGAL: I310 R�EST ���NT l,..ANt PID: <br /> D$SCRIPTION OF WORR: �CC�1< <br /> -------------------- ---------------------------- --------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED: 6 �`�7 '�1.� <br /> BIIILDING RL7VIEW BY: � U�-�- DATS APPROVID�: C�' �''1 '4'S <br /> ------------------- ---- - <br /> FBES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMI T Ye s �� No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> �������������������������������������������� • y� <br /> ZONING CHECR LIST Zoning District _�(; Q <br /> Fire Department: I�YIp�Nd Post Office: Wlcx„�,/� School District: lw�e�'t'�N1c0. <br /> Lot Area:� � �1 LO Z sr_ �-� Width: � R�uc.�,2 Depth: -' <br /> Survey Submitted: Yes� No Date of Survey: 6- l'�i� <br /> Proposed Setbacks: <br /> Front (�eice) : 3S' Right Side: (�S � <br /> Rear (�t) : 3�� Lef t Side: W�� <br /> Adjacent Structures: //4-- <br /> wetland: /��� <br /> Building Height: Def. Hgt. /��� Peak Hgt. "— <br /> Avg. Setback: /�1�-- Lot Coverage: '�I � <br /> Existing Proposed <br /> Hardcovers 0-75 ' <br /> 75-250 ' <br /> 250-500 ' (Z,�� 1 �Z�o <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes Nop� Date Council Approval: <br /> Grading: 5taff Approval. Date: By. ouncil Approva]. Date: <br /> Septic: S�aff Approval Date: By <br /> Zoning Fi]!e:# Re 1 t' n #: Resol.ution Date: <br /> REMARRS (�n house) : <br />