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� CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> FOR OFFICE USE ONLY . <br /> ADDRESS OR I.EGAL: y ZZU Go c�nn'Y �0�4 0 � �'ID- <br /> DESCRIPTI ON OF WORR: �rJ Q I'T�0 NS <br /> ------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �. DATE APPROVED: 9'-Z3'9'l <br /> BIIILDING REVIEW BY: DATE APPROVED: S- 2 3'S( <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�/ PARK FEE <br /> SAC Yes No v SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: P t ff' e: � c 1 ' s ri r_ <br /> / <br /> Lot Area: id e t : <br /> Survey Submitted: Ye No Date of Survey: <br /> Proposed Setbacks: / � <br /> Front (L,�ce�: /lJ l i4 Right Side: Y �jd t <br /> Rear ( "�) : 3�0� �' Left Side: �/00 ��'�" <br /> . � <br /> Adjacent Structures : �S� Wetland: /�//� <br /> Building Height: Def. Hgt. Jl��/�- Peak Hgt. /" �� <br /> Avg. Setback: Lo Cov age: <br /> Existi g Propo ed <br /> H�r��ev�r: Q-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varian e Requir d: es No ate of ouncil Approval: <br /> Grading: Staff pproval D te• By: Co cil Approval Date: <br /> Septic: Staff Approval D te. By: <br /> Zoning File-# esolut'on #: _ esolution Date: <br /> REMARRS (i house) : <br />