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, � CHECR OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �{FSS Go (Z-e��c9 �o PID: <br /> DESGRI PTION OF WORR: �4 a✓J � �`+o n1 <br /> ------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: � �,,a„ DATE APPROVED: /(��7' �'J Z <br /> BIIILDING REVIEW BY: DATE APPROVED: /4'� " �2 <br /> FEES TO BE CHARGED: Misc. Fees CalcuJ.ated By: <br /> PERMIT Yes �/ 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 r/ SITE INSPECTION <br /> Number of SAC Units OTHER ( specify) <br /> ------------------------------------------------------------------------------� <br /> ZONING CHECR LIST Zoning District: R R-IQ <br /> Fire Department: (,o„� (A� Post Office: �1 (.�4ic� School District: N�c- <br /> Lot Area: /nG,y) Z.S Ac� Width: Depth: <br /> Survey Submitted: Yes k No Date of Survey: Z=�-5 Z <br /> Proposed Setbacks: � <br /> Front �) : I Z5��-- Right Side: Z5� � �. <br /> Rear (Street) : S�D� Left Side: �S � W <br /> Adjacent Structures: �fg' wetland: N�/9 <br /> Building Height: Def . Hgt. �. (� Peak Hgt. <br /> Avg. Setba Lot Coverag : <br /> Existing Proposed <br /> Hardcover: 0-75 <br /> 7 -250 ' <br /> 25 -500 ' <br /> 500 1000 ' <br /> Hardcover V riance Requ' red : Yes No D te of Counci Approval : <br /> Grading: St ff ApprovaJ_ ate: By: Council Ap rova�. Date: <br /> Septic: Sta f Approva� Dat : By <br /> Zoning File # Re oluti n # : Resol�ution ate: <br /> . <br /> REMARRS (in house) : . <br />