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., CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 4 d O W A-Tt�'Zt'O KYR PID: <br /> DESCRIPTION OF WORK: 'n R 2 <br /> ------------------- <br /> ------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: - `7y <br /> BUILDING REVIEW BY: DATE APPROVED: �-c+ <br /> If <br /> LQ:46e---------- ------------------------------- <br /> ------------------- --- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No Z,_;� PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------- <br /> --------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: (- I- - Post Office: School District:6A�0N 0 <br /> Lot Area: 1 r, Width: <br /> ��7.'2- Depth: t Cl 1. 6 <br /> Survey Submitted: Yeses_ No Date of Survey: <br /> Proposed Setbacks: 1 4 <br /> Front ( e•) : ! 2 s, Right Side: <br /> Rear (Strut) : �l`1 Left Side: I S w <br /> Adjacent Structures : 7 Z Wetland: Al �A <br /> Building Height: Def . Hgt. O, Peak Hgt. <br /> Avg. Setback• /V /A Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover VarAed: s No Date of Cou cil Approval : <br /> Grading: Stafate: By: Counci Approval Date: <br /> Septic: Staffte: By: <br /> Zoning File:# Re olution Resol tion Date: <br /> REMARKS (in h <br />