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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ,3 ? ze U /e rrG"// PID:. � .7,3 31 00 <br /> DESCRIPTION OF WORK: <br /> --------------------- - - -------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> ---------------------- ---------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes-� No SEWER CONNECTION <br /> STATE SURCHARGE Yes i-� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARR FEE <br /> SAC Yes Nom/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Altz-1--if Post Officer School District: rN,ouA.ri <br /> Lot Area: 'RDy ;FA 1-'r' Width: 2 / Depth:- /SOS <br /> Survey Submitted: Yes No-4<1 Date of Survey: <br /> Proposed Setbacks: <br /> Front (4.a4sa-) : ^/64 Right Side: � i <br /> Rear (Street) : $'b 1+ Left SideX/W/ 2. 6 <br /> Adjacent Structures: A-TT7le Wetland: <br /> Building Height: Def. I Peak Hgt. <br /> Avg. Setback: Lo Cover e: <br /> E ist'ng ropose <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Vari nce Requir <br /> B d: Y s N Dade of Council Approval: <br /> / Approval Date: <br /> Grading: Sta f Approval D te: Y= Council pp <br /> Septic: Sta f Approval D te: BY= <br /> Zoning Fil :# Re olutio #: Resolution Date: <br /> REMARKS ( 'n house) : <br /> r <br />