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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z ?ZS �- ' Rcyl) PID: <br /> DESCRIPTION OF WORK: / F/'2E w A�LC <br /> ------------------------ <br /> ZONING REVIEW BY: /V DATE APPROVED: <br /> BUILDING REVIEW BY: <br /> DATE APPROVED: l ' Z 2- <br /> ------------------- --- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes J No SEWER CONNECTION <br /> STATE SURCHARGE Yes p/ 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 /> ZONING CHECK LIST Zoning Di trict: <br /> Fire Department: Post Office: School D strict: <br /> Lot Area: Width: Depth: <br /> Survey Submitt Yes No D to of urvey: <br /> Proposed Setba s: <br /> Front (La ) : Right S de: <br /> Rear (Str a ) : Left S de: <br /> Adjacent t uctures: Wetland: <br /> Building Heig Def. Hgt. Peak gt. <br /> Avg. Setback: Lot Coverag <br /> Existing Proposed <br /> Hardcover: 0- 5 ' <br /> 75-2 0 ' <br /> 250- 00 ' <br /> 500-1 00 ' <br /> Hardcover V riance R quir d: Yes No Date of Council proval: <br /> Grading: St ff Appro al ate: B Council Appr val Date:_ <br /> Septic: St ff Approv 1 D te: By: <br /> Zoning File:# <br /> RV <br /> ion #: Resolution ate: <br /> REMARKS (inn house) : <br /> z: <br />