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, CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR d�'FICE USE ONLY <br /> ADDRBSS OR LEGAL: �� I.��w w N ""� S PID: � <br /> D$SCRI PTI ON OF F�ORR: ��"T- ��l4�Ar�� <br /> ------------------- --- ----------------------------------------------------- <br /> ZONING RBVIEW BY: /�� DATB APPROV$D: C�'7' �l �'J <br /> BIIILDING REVIBl�T BY: DATS APPROVSD: �j'�-CI y <br /> -------- <br /> F$BS TO B$ CHARGBD: Misc. Fees Ca�culated By: <br /> PERMIT Yes. �No <br /> PLAN REVIEW Yes �No SEWER CONNECTION <br /> STATE SURCHARGE Yes �'No WATER CONNECTION <br /> INVESTIGATION FEE Yes No C� PARK FEE <br /> SAC Yes No �� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------e----------------------- <br /> ZONING CHECR LIST Zoning District: /Q/t��,� <br /> Fire Department: ost ffi c o District: <br /> Lot Area: idth <br /> Survey Submitted: Yes� No Date of Survey: Z-'�-�7� <br /> Proposed Setbacks: ' <br /> Front (-��) : 132�� Right Side: 3'y� � <br /> Rear (S�x.cet) : 230� 3' Lef t Side: N�A' <br /> Adjacent Structures: (0 � Wetland: Tt��� '� <br /> Bui J.ding Height: Def. Hgt. C9 •� Peak Hgt. <br /> Avg. Setback: t Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 <br /> Hardcover Vari ce Req ired: Y s No Dat of Coun ' 1 Approva].: <br /> Grading: Staff Approval Date: By: Council pproval Date: <br /> Septic: Staff pprova]. D te: By: <br /> Zoning File:# esol tion : Resoluti n Date: <br /> RffiKARRS (in h use) : <br />