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` CHECK OFF. LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �" .-��� /-�Llc.!''�-; PID: ��_//") -�.3 j, ,._' GO � '� <br /> � -� ✓t � M� <br /> . � � t ��+ �' � � c�� �X �� <br /> DESCRIPTION OF WORR. �' �' �z�-,C��-C� ��' �=�' �,� "- <br /> ----------- ------- ------------ <br /> ------------,2�3 <br /> ZONING REVIEW BY= DATE APPROVF�D: � <br /> BIIILDING RLVIEW BY: <br /> DATS APPROVED: �-L � <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 PARR FEE <br /> SAC � Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------- <br /> ZONING CHECR Z�IST Zo ing District: <br /> Fire Depar nt: <br /> Post Offic : S ho 1 District: <br /> Lot Area: Width: De th: <br /> Survey Submi ted: Yes No+_ Date of Survey: <br /> Proposed Set cks: <br /> Front ( e) : Rig t Side: <br /> Rear (S e t) : Lef Side: <br /> Adjacen St uctures : ' W tland: <br /> Building Hei ht: ef. Hgt. Peak Hgt. <br /> Avg. Setback Lot C verage: <br /> Existin ` Pr posed <br /> Hardcover: 0 75 ' <br /> 75- 50 ' <br /> 250� 00 ' <br /> 500-� 00 ' <br /> Hardcover V iance Requ re : Yes o Date of Cou cil Approval:__ <br /> Grading: St f Approval a e: <br /> gy; Counci ApprovaJ. Date: <br /> Septic: Sta f Approval. D t : By' <br /> Zoning File:# solution Reso ution Date: <br /> REM�FtKS (in house) : <br />