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, CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�1 Zl SNUSLtU NC PID:��-//7 ��-3 /�- U 0 � � <br /> DESCRIPTION OF WORR: ��1z'ER�viz RL.MOtkL <br /> ----------------------- <br /> ZONING REVIEW BY: I� �� DATE APPROVED: <br /> BIIILDING REVIEW BY: �y� �--- DATE APPROVED: Z-/7-`73 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARR FEE <br /> SAC � Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------- <br /> ZONING CHECR LIST Z ning District: <br /> Fire Department: Post Off ' ce: Schoo Di trict: <br /> Lot Area: Width: Depth: <br /> Survey Submitted s No D te of Survey: <br /> Proposed Setbac s: <br /> Front (Lak ) : ight S de: <br /> Rear (Str et) : Left S 'de: ' <br /> Adjacent Structu es: Wetl.and <br /> Building Heig t: Def Hgt. Peak Hgt. <br /> Avg. Setback ot Covera e: <br /> E isting Proposed <br /> Hardcover: -75 ' � <br /> 75 250 ' <br /> 25 -500 ' <br /> 500 1000 ' <br /> Hardcover Variance Re uir d: Yes No Date of Council pproval: <br /> Grading: taff Approv I. ate: � By: Council App oval Date: <br /> Septic: taff Approva D te: BY= <br /> Zoning F' le:# Resolut on # : Resol.utio Date: <br /> REMARKS (in house) : <br />