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' � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR CrFICE USE ONLY <br /> ADDRESS OR LEGAL: =r���'� ��f ��'"� �t`��%1,�1 �� ,r' J'.'� PID: . - ' ,�� �� '� � T _. ��� _ ," �a <br /> DESCRIPTION OF WORR: ' � �" fl / v'� � ' � ; , %- '/ . / <br /> -------- ---------- - ----------=--------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 1 Z-�{- �C Z <br /> BIIILDING REVIEW BY: DATE APPROVED: I 2- �( -`/ Z- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓'� No <br /> PLAN REVIEW Yes ✓ NoT 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 /> ----------------------------------------g---------_-----`�---- <br /> ZONING CHECR LIST Zonin District /Z� � <br /> Fire Department: � Post Of f ice: L L. Schoo� Di strict: lU�� <br /> Lot Area: a �,;;� i.8� c� Width: Z.�c� Depth: 3� � <br /> Survey Submitted: Yes�_ No Date of Survey: �-/- 7b <br /> SATrt_�T �'I�SH <br /> Proposed Setbacks: � <br /> Front f�a� : (�0 r � Right Side: N !0 -�- <br /> Rear 'c����) : l 37� �' Lef t Side: �2�fU � � <br /> Adjacent Structures : (6U �'h Wetland: /�l� <br /> Building Height: Def. Hgt. eak Hgt. <br /> Avg. Setback: Lot C ver ge: <br /> Exist'ng Pr pos d <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> , <br /> 250-500 ' <br /> 500-1000 ' --' -�— <br /> _--��....��_ <br /> Hardcover Variance Required Yes N Da�e of Counci , Approval: <br /> d � <br /> Grading: Staff Ap�roval. Dat : :� By:�_ CounciJ. A�pproval. Date: <br /> � <br /> �' <br /> Septi c: Staf f Ap roval. Dat : � BY� �4�� <br /> s � <br /> Zoning File:# R s ution #�': ResoJ�u�ion Date: <br /> t �f <br /> RF.MARiCS (in ho se) : � <br /> 1 <br /> ( � <br /> 1 i <br /> I <br /> , / ! <br /> ✓ ' <br />