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� <br /> �' _ �.. __._ _ _. . _... _ _.- ---- �-� -�-- - <br /> -,., �.. ; , <br /> ; CHECR OFF LIST FOR ISSDANCE OF PSRMITS <br /> { � 1O � FOR OFFICE USE ONLY <br /> •�_�s..�,�.�`�li.l" ,�_� <br /> ; ADDRSSS OR LEGAL: '+"X ��� � �-- \�.�.✓i.c��r_, c ��ID: <br /> ; � L �� �� �- 3 <br /> . DESCRIPTION OF WORR: <br /> _ ----------------------------------------------------- -------------- <br /> ZONING REVIEW BY: DATE APPROVED: � �- ` d,7-�jG _ <br />.,��.: _^; BUII,DING REVIEW BY: .ilw�a,�---- DATE APPROVED: �Z�7'' � � <br /> - � FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> - PERMIT Yes r�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 f No SITE INSPECTION <br /> Number of SAC Units t OTFiER (specify) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHECR LIST Zoning District: � --- � ��- <br />,`i <br /> Fire Department: � Post Office: 1., L School District:��r- <br /> �f� �. Lot Area: 3,3 � ��_� Width: �.st} ! Depth: ;!d r <br /> Survey Submitted: Yes� No Date of Survey: /,�, - �Cc - �6 <br /> Proposed Setbacks: / ��" <br /> Front (��: � � Right 5�.�: 5�1 <br /> : S � <br /> _ Rear (Street) : Left Side:_�1�_ <br /> Ad jacent Structures: --'�" Wetland: � "~�_ <br /> - ..;; Building Height: Def. Hgt. ��`? 1 Peak Hgt. .�Co� � �� <br /> :''j'�'4 <br /> � Avg. Setback: --"�r Lot Coverage: � <br /> , � Existing Proposed <br /> � <br /> xardcover: o- 5' � b 7(P -3 ` <br /> - -- _ 7 � 50 ' <br /> _ ; <br /> 25� 500 ' <br /> �' � 500-1 00 ' <br /> + Hardcover Variance Required: Yes No ,� Date of Council Approval: <br /> '`''�� Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: �� <br /> Zoning File:� Resolution #: Resolution Da <br /> � G � <br /> R$MARRS (in house) : <br /> � -- a <br />