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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> " ' � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (L��� G���" ��� �,�� �� PID: �S-5 '//�' �_3 �3_� �'o�'_� <br /> DESGRIPTION OF WORR: /!C��L� /`-���°�' ''�� <br /> ----------------------------- � <br /> ------------------------- -- � ../ <br /> ZONING REVIEW BY: DATE APPROVED: �- " g / <br /> /� �� DAT$ APPROVED: g� � " 9 / <br /> BIIILDING REVIEW BY: ��"`^""'"' <br /> ---------------------�_1 _-----------------------------------------------------� <br /> FEES TO BE CHARGED- Misc. Fees Ca�culated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes�� No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes Noe/ PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECR LIST Zoning District G/�'�� <br /> Fire Department: Post Office: (�}�,r?��" School District: /,�)/�y2/��- <br /> Lot Area: i��l'.3vd�"' � �� Width: i��6v`"�� Depth: '` <br /> Survey Submitted: Yes �C No Date of Survey: ��2�- �'`� <br /> Proposed Setbacks: , � <br /> Front (L�) : !73 Right Side: '1 Z •2 � <br /> ST��=r sr oe� <br /> �r ��t� ; �5�:6 ` Left Side: <br /> Adjacent Structures: �f/� wetland: ��f� <br /> Building Height: Def. Hgt. �7� Peak Hgt. 3�� <br /> Avg. Setback: <br /> /f�%/4� Lot Coveraqe: �J� <br /> Existing Proposed <br /> Hardcover: 0-75 ' � <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' �� � <br /> Hardcover Variance Required: Yes No o� Date of Council ApprovaJ�: <br /> Grading: Staf f Approval Date: �i - �� `�`'f BY� o'`V� Council Approval Date: <br /> Septic: Staff Approval Date: BY= <br /> Zoning File:# ��� Reso7�ution # : Resolution Date: <br /> REMARKS (in house) : , <br />