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� CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ` FOR OFFICE USE ONLY <br /> � <br /> ADDRESS OR LEGAL: C�1c� Sub�2woo�S _ <br /> PID: _ _ <br /> DESCRIPTION OF WORR: �21�-w� v Vt�w�n�� <br /> ------------------------l----------------------------------- 3 <br /> ZONING REVIEW BY: ` � DATE APPROVED: /j- �S'- � <br /> BUILDING REVIEW BY: ��� DATE APPROVED: II` �-s-' <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 r/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�� PARK FEE <br /> SAC Yes No l SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------- <br /> ZONING CHECR LIST ^ l Zoni ' st i <br /> � <br /> Fire Department: o t Offi e: ' c o ict: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes� No Date of Survey. C�N -tGE:, c.��r�' �D' �"''"'T <br /> t�82. 1L� � <br /> Proposed Setbacks: � <br /> Front (La�ce) : s Right Side: 1`� t <br /> Rear (Street) : Zov� -f` Lef t Side: 23�� <br /> Adjacent Structures: / �� � Wetland: N (� <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverag : <br /> Existing Proposed <br /> hardcover: 0-75 ' <br /> 75-250 ' <br /> � <br /> 250-500 ' ` �� <br /> 500-1000 ' � <br /> � � <br /> Hardcover Varian�e Require : Yes No Date of Council App oval: <br /> ; <br /> Grading: Staff A�proval Date• By: Council Approv 1 Date: <br /> Septic: Staff Ap�roval Date: BY= <br /> I <br /> Zoning File: # � Resolu ion # : Resolution Da e: <br /> � <br /> REMARKS (in hous�e) : <br /> ( - <br /> 1/, <br />