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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: Zto3 Su6RRw-�ops <br /> PID: = <br /> DESCRIPTION OF WORK: Q cc�, <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: c� �� DATE APPROVED: � •�-Q�, <br /> BUILDING REVIEW BY: DATE APPROVED: �-20-9$ <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (2,-!� <br /> Fire Department: (��q �q,� Post Office: School District: 6 fl��rfl <br /> Lot Area: Sq.ft. �tic C t�r�r.� Acres Width Depth <br /> Survey Submitted: Yes o�.. No Date of Survey: �- /2- 5� <br /> c�nt �=�u�.. <br /> Proposed Setbacks: � <br /> Front(�a): (05 �' Right Side: 3�� <br /> Rear (Streot): g0� } Left Side: (o�� f <br /> Adjacent Structures: ��-�-�q�� Wetland: 1U�� <br /> Building Height: Def. Hgt. N �I/�' Peal:Hgt. -- <br /> Lot Coverage: D•(L <br /> Grading: Staff Approval ate: By: Cou 1 pproval Date: <br /> Septic: Staff Approval Da . By: - <br /> Zoning File: # Resolution: # Resolution ate: <br /> Shoreland District: <br /> Avg. Setback: Bl ff Setbac : Lot C verage: <br /> E isting Propo ed <br /> Hardcover: 0- 5' <br /> 7 250' <br /> 2 0-500' <br /> 5 0-1000' <br /> Hardcover Varian Required: es o Date of Council App val: <br /> REMARKS (in house • <br /> 7 <br />