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CHECR OF1� LIST FOR ISSIIANCE OF PERMITS <br /> � � FOR OFFICE USE ONLY <br /> ABDRESS OR LEGAL: oCd/O ,���t�`�-c`c`'�" �/�- PID� .��-/��- �� 'Z"I ��� � <br /> DESCRIPTION OF WORR: �c�-C. /��'� <br /> ------------------------ --------------- -------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: � - /7 ' �7 3 <br /> BIIILDING REVIEW BY: DATE APPROVED: (, ' I7 '�� <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 No �" PARK FEE <br /> SAC Yes No �/� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------ <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: Pos f i e S ]� District: <br /> Lot Area: id Pt � <br /> Survey Submitted: YesJ( No Date of Survey: <br /> � o� F�c.t <br /> Proposed Setbacks: � � <br /> Front (�i�) : N �I'� Right Side:��_ <br /> � Left Side: l �� � � <br /> Rear (S�eet) : � ^�" <br /> Adjacent Structures: �3� �' Wetland: /V�/q <br /> Building Height: Def . Hgt. /� �/�` Peak Hgt. <br /> Avg. Setbac - Lot Co age: <br /> Existin Prop s <br /> Hardcover: -7 ' <br /> 75 250 <br /> 250 500 ' <br /> 500- 000 ' <br /> Hardcover V riance equired: Yes No Date o Council ApprovaZ: <br /> Grading: St ff Appro al Dat : By Co ncil Approva� Date: <br /> Septic: Sta f Approval. Date: ` BY= <br /> Zoning File:# Re olutio � : Re olution Date: <br /> REMARKS (in house) : <br />