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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY p� <br /> ADDRESS OR LEGAL: PID: 3(D" /l D 3 a eO <br /> DESCRIPTION OF WORK: <br /> ---- --- ---- - --- --- --- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: --(G <br /> ------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes 4-�- No SEWER CONNECTION <br /> STATE SURCHARGE Yeses No WATER CONNECTION <br /> INVESTIGATION FEE Yes Noy' PARK FEE <br /> SAC Yes No f SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District A0--1Q <br /> Fire Department: wA-47/�rw Post Office: School District: n.�.•, �sh�a <br /> Lot Area: /y /C. Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: /1 &f SZ <br /> Proposed Setbacks: <br /> Front (S-mke) : /ull� Right Side: -7 S ���N <br /> Rear ( reet) : /S� '� Lef t Side: 17U t 0- <br /> Adjacent Structures: i3 ' Wetland: / 30( x' <br /> Building Height: Def. Hgt. AIM Peak Hgt. <br /> Avg. Setback: _ Lot Coverage <br /> Exi g Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Req ired: Y s N Da a of Council Approva <br /> Grading: Staff Approva Date: By: C uncil Approval D te:_ <br /> Septic: Staff Approval ate: By: <br /> Zoning File:# Resolution #: i Resolution Date: <br /> RFMARKS (in house) : <br />