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CHECR OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR �OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 37�1�� SHG�Zt;C-iNL. 1�12 PID: �� � > - //l -.�_3 }/ ��'c?j� <br /> DESCRIPTION OF WORR: r ��..�- <br /> ------------------ <br /> ------------------------ <br /> ---------------------------------- <br /> ZONING REVIEW BY: � _ DATE APPROVED: /b - L i- � 5 <br /> BIIILDING REVIEW BY: � (I�- DATE APPROVED: <br /> ------------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> �- G,IZ�D�n;� PC:lZ✓v�l�; <br /> PERMIT Yes�( � No <br /> PLAN REVIEW Yes No ►�-f� 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 /> ZONING CHECR LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front (�e) : I ��-' �� Right Side: ►O �"" <br /> Rear (�����-!, • ��GG ` �+� Left Side: �'�� �' <br /> Adjacent Structures : /'G�'�? Wetland: <br /> Building Height Def . Hgt. %Peak Hgt. <br /> Avg. Setback: � � Lot C�verage: <br /> Existing Prqposed <br /> � \ <br /> Hardcover: 0-75° %� <br /> I <br /> ` <br /> 75-25d' �_ <br /> , %� <br /> 2so—sop � �� 'I <br /> , <br /> `� ,� <br /> 5 0 0-10 0% ' t�' -_--__- <br /> � <br /> Hardcover Var�ance Requ�.red : Yes No �ate of Counci!1 Approval: <br /> Grading: Staff Approval �ate: By:�� Council A�proval Date: <br /> : d <br /> Septic: Staf f� Approval Da�te: , ;$y: '� <br /> � � i � <br /> Zoning File: # I�esokution # : Resoluti�on Date: <br /> ; <br /> REMARKS (in hbuse) : �'� <br /> `, <br /> � <br /> � <br /> � <br />