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• .. ,y <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> / S - O 00ADDRESS OR LE : 50 (�� � & PID:��C <br /> GLS(�� <br /> DESCRIPTION OF WORK: F / n) t61072.77 0/v ir- g6,D6 Fog. SPRCNK - . <br /> ZONING REVIEW BY: DATE APPROVED: '-• Z7 ` 9 <br /> 2 <br /> BUILDING REVIEW BY: DATE APPROVED: ( - Z.).- 3 <br /> 4 <br /> ------------------ - <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes ire No SEWER CONNECTION <br /> STATE SURCHARGE Yes t " No WATER CONNECTION <br /> INVESTIGATION FEE Yes No c/' PARR FEE <br /> SAC Yes No 4/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> TONING CEECR LIST Zoning District: <br /> Post Office: <br /> Fire Department: / S h•ol District: <br /> Lot Area: Wid,/h: � Dep h: <br /> Survey Submitted: Yes Nor Date o Survey: <br /> �, fi tis( 09-e 6v 0 c <br /> Proposed Setba'ks: <br /> Front (La - ) : ; Right Side: <br /> 1 FC) CT' OguJ(Ail <br /> -- <br /> Rear (Etre=t) : Left /Side: / <br /> Adjaceft St •uctures : Wet4and: <br /> 1 4eak Hgt. <br /> 3uilding Hel.ght: Def. Hg. . <br /> Avg. Setbac : Lot Coierage: <br /> , n Pro osed <br /> :ardcover: 0-75 ' g <br /> 75-250 ' 111125 -500 ' 1111 <br /> 500 <br /> 1000 ' ill <br /> � ou <br /> Hardcover ariance Req i ed: Y�• o Date of Cncil Approval:s / i <br /> B <br /> Counc'l Approval Date:_____.__ <br /> Grading: S aff Approva Date: / y= <br /> Septic: Stiff Approval 4te: / / By: <br /> Zoning Fi4:# 1Resoliution J#: Res lution Date: <br /> 0 <br /> REMARKS (In house) : <br /> i <br /> 1 <br />