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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: yZ bS _r&NBCA Ill EW CAN E PID: <br /> DESCRIPTION OF WORK: �Jew <br /> �r <br /> ------------------------------ <br /> ZONING <br /> -----------------------------ZONING REVIEW BY: ��(, (Q, _ DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No sees .in?e <br /> PLAN REVIEWYeses No SEWER CONNECTION 2 ZS;-0 o <br /> STATE SURCHARGE Yes-7"- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units J�_ OTHER (specify) <br /> ---------------------=--------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: 64-1,0 <br /> Fire Department: Mourod Post Office: Auv,vcP School District: 1p24v,-11 <br /> Lot Area:. $?P 4g?" Width: ZSSS I�,C- Depth: /30 <br /> Survey Submitted: Yeses( No Date of Survey: <br /> Proposed Setbacks: <br /> Front (betke) : S"/. '� Right Side: $3 f C_ <br /> Rear (St*eert) : Left Side:—C - w <br /> Adjacent Structures: N//9 Wetland: V Xy <br /> e <br /> Building Height: Def. Hgt. 20 Peak Hgt. 2-7 <br /> Avg. Setback: /y CJI Lot Coverage: D.K <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500 ' �•�� <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No_.,K Date of Council Approval: <br /> Grading: Staff Approval D y: ouncil pp oval Date: <br /> Septic: Staff Approval t By: <br /> Zoning File:# esolut' n #: Resol ion Date: <br /> REMARKS (in house) - <br />