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, t <br /> .' • CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �� �i.�,�-� �.��c;� ��',� �� PID: �� '/l� �- `� 3 �tf C�00� <br /> DESCRI PTI ON OF WORR: �f�,� �-��� <br /> --------------------- ---------' --- --------------_--------------------------- <br /> ZONING REVIEW BY: (��,,,� �y�_� DATE APPROVED '� /6 -`�i � <br /> -� <br /> BDILDING REVIEW BY:� ' - DATE APPROVED: � -16 �y� <br /> FEES TO BE CHARGED: Misc. Fees Ca�culated By: <br /> PERMI T Ye s �� No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes (i� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No C� PARK FEE <br /> SAC Yes No �l� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: L/L � (�� <br /> Fire Department• ' � Po �/ O f ' c s �� �ooJ. District: <br /> Lot Area : � Wid _...-De� <br /> Survey Submitted: Yes_� No Date of Survey: 6 -/- 7F� <br /> Proposed Setbacks: <br /> Front (La�ce) : �v(,� Right Side: h/� <br /> Rear (S�-�ee�) : �5`� f �' Lef t Side: �/O `-� � <br /> Adjacent Structures: S"D� Wetland: ti��,�- <br /> Bui].ding Height: Def. Hgt. � • (� Peak Hgt. <br /> � <br /> Avg. Setback: Lot Cove�age: <br /> � Existing Propos�d � <br /> � <br /> �I \ <br /> Hardcover: 0-75 ' �i <br /> � <br /> 75-250 ' �� `;� �; <br /> 250-500 ' i � <br /> � ,� � <br /> � <br /> 500-1000 ' � ,� � ; <br /> Hardcover Varianc� Requi�ed: Yes No_� Date of Council Approval: <br /> i ._-------- �. <br /> Grading: Staff Ap�roval. D`�te: By: Council App ova� Date: <br /> � � <br /> Septic: Staff App�ovaJ. Dat�: _ By: <br /> � � i <br /> Zoning File: # Re'solution # : Resolution�IDate: <br /> REMARRS (in house� : <br /> , — <br /> f <br /> ; � <br />