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, CgECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY � <br /> ADDR$SS OR LEGAL: �I�C� �SUSSGX �4�1G PID: <br /> D$SCRIPTION OF WORK: N Ew C�S <br /> � ------------- <br /> ----------------------------- <br /> . ZONING REVIEW BY- -- . _ DATE APPROPED: 1� 3- 55 <br /> ' �Ul�l�w.-- DATE APPROVED: f - 3' S� .- <br /> BIIII.DING REVIEW BY s <br /> ------------ ---------- <br /> FEES TO BE CHARGED- Misc. Fees CaJ.culated By: <br /> PERMIT Yes �/ Na <br /> PLAN REVIEW Yes f No SEWER CONNECTION <br /> STATE SURCHARGE Yes �Na WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓' PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER (specify? <br /> ---- --------- <br /> ------------------ <br /> -------------- ----------- <br /> ZONING CHECR LIST Zoning District: (Z(�- �Q <br /> Fire Department• �-'L � Post Office: ' L•�- Schoo� District: O�� <br /> Lot Area: Z.i S� �K'-�� Width: i RQ.���c.�/Z Depth: —' <br /> Survey Submitted: Yes 1� No Date of Survey: i 2-�g - S H <br /> Proposed Setbacks: <br /> Front (b��.) : �od ` Right Side: s'o•1 � <br /> Rear (S�eet) : �ZS� Left Side: 30•1 �_ <br /> Adjacent Structures: itJ/�- Wetland: N/�} <br /> Bui l.ding Hei ght: Def . Hgt. �v f Peak Hgt. S�� <br /> Avg. Setback: /g' Lot Coverage: <br /> Existing Propose <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' �-- <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes Date of Cou cil Approval: <br /> Grading: Staff Approval Date: /- 3- 55 By� a��, Council Approval Date: <br /> Septic: Staff Approval. Date: , • �• �S By: 5•w <br /> Zoning Fil.e• � R o7�uti n # Resolution Date:_,__ <br /> REMARRS (in house) : <br />