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CHECK OFF <br /> FOR LIST <br /> FIOR ISSUANCE <br /> ONLYOF PERMITS <br /> _ADDRESS OR LEGAL: ,��� �� X /" PID: a �'-, 400 J <br /> DESCRIPTION OF WORK: J�C h <br /> ----------------------- - � <br /> ---- -------------------------------- <br /> ZONING REVIEW BY: �„� / DATE APPROVED:- q I -Cil <br /> BUILDING REVIEW BY: DATE APPROVED: °1- �l-`1( <br /> ------------------- ------- <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yeses No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�/ PARK FEE <br /> SAC Yes No �/ SITE INSPECTION <br /> NumberofSACUnitsOTHER (specify) ------------------- <br /> ----------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: _ <br /> Fire Department: Al P Of ice. �istrict: <br /> Lot Area: Wi h: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks : <br /> Front (La4eel : 7b f Right Side: AGO' + <br /> Rear (Straat) : aDL4' <br /> Left Side: 1it� <br /> Adjacent Structures : _S-DI Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lq Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance equir d: Yes No Date of Council Approval: <br /> Grading: Staff A roval D t Council Approval Date:_ <br /> Septic: Staff proval Da By: <br /> Zoning File:# eso tion #: Resolution Date: <br /> REMARKS (in house) : <br />