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. C�� O� ORSOFFOCEIUSE ONLYOF p�MITS <br /> , '""` F <br /> , <br /> ADDRESS OR I,EGAL: � S P��N fo' t�I�- PID: <br /> D$SCRIPTION OF WORR: ----------------------------------- <br /> --------------DATE <br /> ------------------- -- (o- 5/(0 <br /> APPROVED: - - <br /> ZONING REVIEW BY: <br /> BY: DATS APPROVED: /e - G`�G <br /> BIIII,DING REVIL�F7 --------------------------- <br /> -- BE C�G�: Misc. Fees Cazcul.ated By: <br /> FEES TO <br /> PERMIT Yes� No <br /> PLAN REVIEW Yes v'' No SEWER CONNECTION <br /> WATER CONNECTION <br /> STATE SURCHARGE YeS �No � pp,gg FEE <br /> INVESTIGATION FEE YeS Na �� SITE INSPECTION <br /> SAC YeS specif ) <br /> Number of SAC IInits --------------- <br /> OTHER Y ___ <br /> ---------- LIST -----------------Zoning District: �2'�� <br /> ZONING CHECK <br /> Fire Department: �,(�_ - <br /> Post Office: �N School District:1�tl <br /> U G��6� Width: � Depth: '"' <br /> Lot Area: N <br /> Survey Submitted: Yesp�, <br /> No Date of Survey: �rf �'� <br /> Proposed Setbacks: � /� <br /> Front (I�`) : ��tC�� '�' Right Side: �v � �/ <br /> Rear (st�-E�'f) = 3Z� <br /> ` -� Left Side: N�� � <br /> Adjacent Structures: � O� � Wetland: 1� �'�" <br /> Hei ht: Def �Hgt• 1 Peak Hgt- <br /> Bui].ding g <br /> Lot verage: <br /> Avg. Setback: pr posed <br /> Ex' sting <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-100 <br /> Hardcover Var' nce Req ired: Yes o <br /> D te of Council Approval: <br /> Grading: Sta Approva Date By= <br /> Council Ap roval Date: <br /> Septic: Sta Approval Date y�---- <br /> Zoning <br /> Fil :# R solution : Resolution Date: <br /> gg,�ggg ( ' house) : <br />