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, _ CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE .7NLY • <br /> ADDRESS OR LEGAL: Z`7 �l � J`��C2�T C..i4�t= _PID:�'� �- ii� � ` �' _� ��� <br /> DESCRIPTION OF WORR: Cl� r�- 5 <br /> -------------------- - - <br /> ------------------------- <br /> ZONING REVIEW BY' _ DATE APPROVED: /Z �S Y <br /> BIIILDING REVIEW BY: � DATB APPROVED: �Z`S- 5� <br /> ------------------ --------- <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 �" SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------- <br /> ----------------------- <br /> ZONING CHECR LIST Zoning District: ���" ��� <br /> Fire Department: L. t-- Post Office: C,�- School District: b�^�v <br /> Lot Area • Z.Y 3 Width: I 2��"`�`'�'2 Depth: '�— <br /> Survey Submitted: Yes 1c No Date of Survey: f�' �k' SK <br /> Proposed Setbacks: � <br /> Front (�-) : �� 3 .3 Right Side: �j�S"•H <br /> �tear (�) = / `f1� �- Left Side: `�� �� <br /> Adjacent Structures : N�l� <br /> Wetland: �� 'r� <br /> Buil.ding Height: Def . Hgt. �` _ Peak Hgt. 2�•S <br /> Avg. Setback: ��f� Lot Coverage: �(/�/�- <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' � <br /> Hardcover Variance Required: Yes No� Date of Counci� Approval: <br /> Grading: Staff Approval. Date: 1,�.- 5 -`1Y By; o�-�' - Counci� Approval. Da.te: '-' <br /> Septi c: Staf f Approval Date: (Z- � • 9� By: S •� <br /> Zoning File• � Resolution # : Resolution Date: <br /> 2ZEMARKS (in house) : <br />