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�.- CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: PID: <br /> DESCRIPTION OF WORK: (2M-n4tW W hL4- <br /> -------------------- --------- <br /> ZONING REVIEW BY: L co� DATE APPROVED: Cr <br /> BUILDING REVIEW BY: - ;D &,kAU. - DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes e,�No <br /> PLAN REVIEW Yes k-"- 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 Zoning District: L./Z '!/} <br /> Fire Department: A r Postis Sc District: <br /> Lot Area: Width: /I/ t <br /> Survey Submitted: Yes r No Date of Survey: ! - ��'y� <br /> 3F ons F�c_E <br /> Proposed Setbacks: <br /> Front (-E�) : ((00 ' Right Side: 1870" N <br /> Rear 11V0�� Left Side: A fit <br /> Adjacent Structures: <br /> Wetland: <br /> Building H ight: Def. Hgt. Peak H <br /> Avg. Setba Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-7 ' <br /> 5-250 <br /> 2 0-500 ' <br /> 50C-1000 ' <br /> Hardcover ariance equired: es No D to of Counc' 1 Approval: <br /> Grading: S aff Appro 1 Date: By: Council proval Date: <br /> Septic: St ff Approval Date: B <br /> Zoning Fil :# Resoltion Resoluti n Date: <br /> REMARKS (i house) : i — <br />