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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ./ <br /> FOB OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 'SIS / �� JQ PID: <br /> DESCRIPTION OF WORK: A T-TAcNLO Gi49W(.0 <br /> ------------------------�-n <br /> � ----------------------------------------------------- <br /> ZONING REVIEW BY: U C511a� DATE APPROVED: (o- Z-5.3 <br /> BUILDING REVIEW BY: DATE APPROVED: 4 . Z-q l <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes t.— No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No ,i SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: 4.R-1,4 <br /> Fire Department: moi.,4 Post Office: School District: <br /> Lot Area: NO G!� Width: Depth: <br /> Survey Submitted: Yes X No Date of Survey: 9-L-S?- 6AR4&er /¢D/. 0 S• Zs�93 <br /> Proposed Setbacks: <br /> Front (fie) : Z. 0 <br /> SRight Side: n/1/4 <br /> Rear (S-6r-eet) : l0 l ' :t Left Side: I//A <br /> Adjacent Structures: I4-r7wCAY-c�0 Wetland: /V 11.4 <br /> � r <br /> Building Height: Def. Hgt. 2_�.S` Peak Hgt. Z� <br /> Avg. Setback: A/ /#- Lot Coverag <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varianc Require Yes No Dat of Counci Approval: <br /> Grading: Staff A proval Da e: By: Council pproval Date: <br /> Septic: Staff proval Da e: <br /> Zoning File:# e olution Reso ution Date: <br /> REMARKS (in ouse) : <br />