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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> a3S0 FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Wes/ LJA'j? (LvbPID: <br /> DESCRIPTION OF WORK: &A60 cox_ 42a101_0116400-46.— <br /> ZONING <br /> '/ .ZONING REVIEW BY: tQh1#w�• DATE APPROVED: S' 1`I - <br /> BUILDING REVIEW BY: (12/v .".— DATE APPROVED: C-1(1-9.1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓''' No <br /> PLAN REVIEW Yeses No SEWER CONNECTION <br /> STATE SURCHARGE Yes-77r No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: A./- <br /> Fire Department: U— Post Office: / CL School District: /PC-/ - C <br /> Lot Area: 111 . C Width: /1) . C., Depth: /44 <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks : <br /> Front ( .. z) : (a y Right Side: 1106 <br /> Rear (Street) : Left Side: 11Y <br /> Adjacent Structures : 3S- 1 Wetland: AYA <br /> Building Height: Def. Hgt. 1 Peak Hgt. /4 <br /> \� i r ' <br /> c‘,..3>,n'! 1...="i......\ C �''.. � 4..93 , , <br /> Avg. Setback: tot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> / <br /> 7 <br /> 75-250 ' / <br /> 250-500 ' / / <br /> 500-1000 ' <br /> Hardcover Variance Requir:d: Yes No / Date of Cou,,cil Approval: <br /> Grading: Staff Approval "ate: y: Counc' Approval Date: <br /> Septic: Staff Approval Date: / By: <br /> Zoning File:# Resolution #: Resolution Date: <br /> REMARKS (in house) : <br />