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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 15 60 -TN NG(,e t,00c>0 I-&-f —PID: <br /> !DESCRIPTION OF WORK:— Gq(2f)'(0 t r ADO 77aN <br /> ---------------- -------------------------------------------------- <br /> -ZONING--- REVIEW BY: y� DATE APPROVED: S 'IY <br /> BUILDING REVIEW BY: DATE APPROVED: f 1q.- 7b <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------- -------- - <br /> ZONING CHECK LIST ZoningDistrict 2(Z %('� <br /> Fire Department: � Post Office: Loti� lA- ' School District: o!�-oN� <br /> Lot Area: Ily Width: Depth: <br /> Survey Submitted: Yeses_ No Date of Survey: Diu (=1 ux;= C-:T- ai -7$ <br /> Proposed Setbacks: , <br /> Front (La�t+: tiJ1A Right Side: `{ <br /> Rear (Street) : 3b�,+ -�- Left Side: <br /> Adjacent Structures: Ay-nqCA+t5ND Wetland: /V to <br /> Building Height: Def. Hgt. 0 • K-- Peak Hgt. —' <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' - <br /> 250-500 ' <br /> 500-1000 ' <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 Date: <br /> S (in house) : <br />