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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FC:R OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2.lo y S IN�'1�-��c f f PID: <br /> DESCRIPTION-OF------- `- (�� {------ ---------------------------------------- <br /> ZONING REVIEW BY: c� C�/W DATE APPROVED: 3-Z5' cf Z <br /> BUILDING REVIEW BY: DATE APPROVED: -Z -V7Z <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 ✓ PARK FEE <br /> SAC Yes No ✓ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: U-1I& <br /> Fire Department: t-onx� �,,I}KC Post Office: N 6&Kc School District: <br /> Lot Area: 13.1 �Ar t s Width: /V/C- Depth: /V/(-- <br /> Survey Submitted: Yes_- No Date of Survey: ON )::-lc,U- <br /> Proposed Setbacks: , <br /> Front (-La3ce�: � '=� Right Side: ) 0th© � + <br /> Rear (Street) :— L©y (4" Left Side: i 00 0 <br /> Adjacent Structures: 2SZ>' Wetland: N M <br /> Building Height: Def. Hgt. Peak Hgt. All,, <br /> Avg. Setback: of Coverage: <br /> Exist g Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' r <br /> Hardcover Variance/qui Yes No---/ D to of ouncil Approval: <br /> Grading: Staff Apal te: By: C ncil Approval Date: <br /> Septic: Staff Appl D te: y: <br /> Zoning File: # 1 -7 ,2_3 Resolution #: �8 S Resolution Date: <br /> REMARKS (in house) : <br />