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Ai.... CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> / /., 42‘i PID: )/, // ?" C<t/ <br /> ADDRESS OR LEGAL: G�;C;6 L0-�� y �: �.�� �:. <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: � � I .. DATE APPROVED: N14 <br /> BUILDING REVIEW BY: �I / IK DATE APPROVED: /Z,- L I -ci <br /> FEES TO BE CHARGEDFEESA. Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yesy' No SEWER CONNECTION <br /> STATE SURCHARGENo_� WATERFCONNECTION <br /> INVESTIGATION FEE Yes No <br /> SAC Yes No '- SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning D, strict: <br /> Fire Department: Post Office: Soho. District: <br /> Lot Area: <br /> Width: Depth <br /> Survey Sub acted: Yes No Date o Survey: <br /> Proposed S: tb: cks : <br /> Front '(L:ke) : Right Side: <br /> Rear (St , eet) : Left Side: <br /> Adja ent tructures : W-tland: <br /> Building Heigh : Def . Hat. Peak Hgt. <br /> Avg. Se pack: Lo . Coverage: <br /> Existing 'roposed <br /> Hardco er: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Harccover Variaa •e Required: Yes No Date of Co ncil Approval : <br /> Gr-ding: Staff Approval Da e: By: Counc 1 Approval Date: <br /> Septic: Staff Approval Daae: By: <br /> Zoning File:# Resolution # : Resolution Date: <br /> REMARKS (in house) : <br />