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' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR I,EGAL: Z l 3� �H EY C..I N O I�l�l- PID= <br /> DESCRIPTION OF WORR: (�1CGIC. <br /> --------------------- ----- ----------------- <br /> ZONING REVIEW BY: DATE APPROVED: '``�`��``�S <br /> BIIILDING REVIEW BY: DAT$ APPROVED: �`15 - 55 <br /> ------------------------ ---- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ 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 /> ------------------------------------------ <br /> --------------------------- <br /> ZONING CHECR LIST Zoning District: ��Q-1� <br /> Fire Department: G�- Post Of f ice: t,vA4zA-� School Di stri ct: p(�nrU <br /> Lot Area: yS �3� s��r t- wiath: 3`i 2� �- Depth: 265.' � <br /> Survey Submitted: Yes�_ No Date of Survey: £f-S-g� <br /> Proposed Setbacks : , <br /> Front (�a#e) : /l��A Right Side: �U � <br /> Rear (�t) : / ?7 � + Lef t Side: `'��� L/ <br /> Adjacent Structures : �-T���%� Wetland: _f(��� <br /> Building Height: Def. Hgt. (/l//!� Peak Hgt /U �ig- <br /> Avg. Setback: Lot overage <br /> Exi ing P oposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varia ce Requ' red: Yes N Date of Council Approva�: <br /> Grading: Staff Approval Da By: Co ncil Approva� Date: <br /> Septic: Staff�Approval. a e: BY= <br /> Zoning Fi].e• # Reso uti #: esolution Date: <br /> REMARKS (in house) : „ <br /> � I <br />