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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL 25 O w���F 2 c9 PID: <br /> DESCRIPTION OF WORK: <br /> ------------------ <br /> p---------------------- _ _ <br /> c3 <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BIIILDING REVIEW BY: � d ~�— <br /> DATE APPROVED: ,3-/s -QsS <br /> --------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c----No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ 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 ZoningDistrict: RR.- 13 <br /> Fire Department: 1,,j Post Office: School District: c- <br /> Lot Area: (V AL Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: g 3a g-3 <br /> Proposed Setbacks : <br /> Front (bye) ' A) 1A Right Side: 19t) <br /> Rear ( Ste) :—t 30 Left Side : 1 V0( <br /> Adjacent Structures : A7MC•�� Wetland: A///I <br /> Building Height: Def . Hgt. Pea Hgt. — — <br /> Avg. Setback: Lot Cover g <br /> Existing Propos d <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-50 ' <br /> 500-100 ' <br /> Hardcover Var ance equi ed: Y s <br /> Date o Council Approval: <br /> Grading: Sta f Appr val Date: By: Co ncil Approval Date : <br /> Septic: Sta f Appro al ate: By: <br /> Zoning Fi : # Res o utio # : Re olution Date: <br /> REMARKS in house) : <br />