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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE.ONLY <br /> ADDRESS OR LEGAL: ��(�O(� ��NC��W00 PID: <br /> DESCRIPTION OF WORK: <br /> --------------------- <br /> ZONING REVIEW BY•----C (S�Mnu-- DATE APPROVED: <br /> BIIILDING REVIEW BY: DATE APPROVED: <br /> ----------------a--------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes fNo <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No 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 /> -------------- <br /> ZONING CHECK LIST Zoning District: A(L- 16 <br /> Fire Department: L•L• Post Office: G •L_ School District: 02b^IO <br /> Lot Area: Nd G14,yv6 Width: — Depth: — <br /> Survey Submitted: Yes_) No Date of Survey: S'- t - -I°i <br /> Proposed Setbacks: <br /> Front (Irzrke) : !G Z' -� Right Side: rio <br /> Rear (&t) :— -L Left Side: N� <br /> Adjacent Structures: 2 5� Wetland: N14 <br /> Building Height: Def. Hgt. 7� Peak Hgt. <br /> Avg. Setback: Lo Covera <br /> ' sting roposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Requir d: es No Date of uncil Approval: <br /> Grading: Staff Ap roval D te: y: Coun it Approval Date: <br /> Septic: Staff App oval Da e: By= <br /> Zoning File:# R s ution # : Res o ution Date: <br /> REMARKS (in hou ) : <br />