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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE ZISE ONLY <br /> DDRESS OR LEGAL: 3 I9 D SvS 5 2X �O� <br /> ID: <br /> ESCRIPTION OF WORX: X�c1_ __�rn o,lI _------_-cr h a{� Fr w.I- do e.� �f (�a� <br /> ------------------------------------------- � ------- --------------------------------�Z----- �+� <br /> ONING REVIEW BY.• � DATEAPPROIjED: Z <br /> UILDINGREVIEWBY: u,Q� DATEAPPROVED: 2• �01 <br /> EES TO BE CHARGED: Misc. Fees Calcarlated By: <br /> ERMIT Yes � 1Vo <br /> LAN REVIEW Yes � No SEWER CONNECTION <br /> TATE SURCHARGE Yes � No WATER CONNECTION <br /> NVESTIGATION F�E Yes No ✓ PARK FEE <br /> AC Yes No � SITEINSPECTION <br /> Number of SAC Units � OTHER (spec�) <br /> --------------------------------------------�------------------------------------------------------------------------- <br /> ONING CHECK LIST Zoning Drstrict: — <br /> ire Depnr�tment: Post Office: School District: <br /> ot Area: Sg.ft. Acres Yi�idth Depth <br /> urvey Sa�bmitted: Yes ✓ No Date of Survey: _ 3' 3" �7 �(�le�• Atrni> <br /> o,��, ,n�'� l.t_ � <br /> roposed Setbacks: , <br /> Front(6ako): ���' Right Side: T1�i <br /> Rear(Str•eet): �'1�4 Left Side: V�l9, <br /> Adjacent Strt�ctz�res: �1Ya Wetland: ►1 ►4' <br /> a�ilding Fleight: Def Hgt. Peak Hgt. <br /> ot Covei�age: �— <br /> rading: Staff Approva/Date: By: Cozrncil Approval Date: <br /> eptic: StaffApproval Dale: By: �(�.)(o <br /> onirrg File: # Resolutio�z: � Resolirtio��Date: <br /> {To�•eland District: �/� N1C6��D Permil: <br /> Avg. Sel6ack: 61z ff Setbac%: Lot Coverage: <br /> Existing Pr•oposed <br /> Hcu�dcover: 0-7�' <br /> ?�-?.i 0' <br /> �sn-sno� <br /> .500-l 000' <br /> Flar•dcover I�'ar•iance Regtrirect: 1�s f�'o Date of Coarrrcil Approi-al: <br /> EMARKS(in lrouse): <br /> 33 <br />