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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERttiIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: -11�i S�4NOSTON�. c�2 <br /> PID: <br /> DESCRIPTION OF yVO,RK: N�w ��5 <br /> ------------------------------------------------------------------------------------------------ <br /> ZO�YINGREVIEGVBX: _ DATEAPPROVED: //- l� •o� <br /> BUILDItVG REVIEW BY: DATEAPPR06'ED: II-_ �8 �sY <br /> --------------------------- <br /> FEES TO BE CHARGED: tL�Iisc. Fees Calciclated By: <br /> PER11�fIT Yes _� No <br /> PLAN REVIEGV Yes �/ �Vo SEYVER GONiVECTION <br /> STATE SURCHARGE Yes �/ �Vo tiT/f1TER CO�WECTIOtV <br /> I�VVESTIGATION FEE Yes tVo � PARK FEE <br /> SflC Yes_� No � SITENSPECTION <br /> Number of SAC Units '�-- OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZO[YI[VG CHECh'LIST Zoni►ig Distr•ict: <br /> Fir•e Depn,�trnerrt: Post Off ce: Sc/ioof District: _.. <br /> Lot.�(rea: Sq ft. Acres YYidth Depth <br /> Sau-vey Subniitted: Yes�_ No Date of Scuvey: _(I-?�`��{ <br /> Proposed Setbacks: � <br /> Froru(Lake): � Right Side: <br /> Rear(Sh•eet): � Left 5ide: b � <br /> Adjacent Sh•uctures: � Wetland: /J�� <br /> Bcrilding Xeight: Def. Hgt. (7� � Peak Kgt. <br /> Got Coverage: � ,� �� <br /> Grading: Staff Approval Date: — By: Cou�Tci!rlpprava!Dccte: <br /> Septic: StnffApproti�af Date: —' BY� <br /> Zoni�:g File: # — Resolc�tion: # Resol��tion Date: <br /> Sleo►•eland Dish•ict: �(}J <br /> Avg.Setback: Bli�ff Setback: Lot Coverage: <br /> Ecisting Proposecf <br /> Hardcover: 0-7�' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> ffardcaver Variance Reqc�ired: Yes No Date of Cocuicil Approval: <br /> RE111ARKS(in liotcse): <br /> 31 <br />