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CHECK OFF LIST,FOR ISSUANCE OF PERMITS <br /> / FOR OFFICE USE ONLY �f <br /> ADDRESS OR LEGAL: 3 3 U Kd PID: 3 ` !I - 3 <br /> DESCRIPTION OF WORK: X <br /> ---------- --- ------------------- <br /> ZONING REVIEW BY: - DATE APPROVED: <br /> - <br /> BUILDING REVIEW BY: DATE APPROVED: 6- & Ct,S <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 PARR FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER ( specify) <br /> -- <br /> ------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: 0-2-)G <br /> Fire Department: VW <br /> Post fic S oo '�istrict: <br /> __-- <br /> Lot Area: idt e <br /> Survey Submitted: Yes DC No Date of Survey: qN t=�t l-i�{ - �O <br /> Proposed Setbacks : <br /> Front (fie.) : Right Side: 490 <br /> Rear (Stsaet) • N !� Left Side: <br /> Adjacent Structures : /4X779cffWetland: /V lA <br /> Building Height: Def . Hgt. IP k Hgt. <br /> Avg. Setback: Lo Cov rage: <br /> Existi Prop sed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance equired: Ye N Da e of Council Approval: <br /> Grading: Staff Ap roval Date By: Council Ap roval Date: <br /> Septic: Staff Ap roval Date: B <br /> Zoning File: # Res ution # : Resoluti n Date: <br /> REMARKS (in house) : <br />