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.'dk CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: // 3I G✓f t-OthiLU 7- TR fLPID: <br /> DESCRIPTION OF WORK: i4-Or)1 T1. a g` ( cZ <br /> ZONING REVIEW BY: (`SAr.,.-- DATE APPROVED: 2-23 -5 <br /> BUILDING REVIEW BY: [ L44. ._- DATE APPROVED: Z' L3 "s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yest/- No SEWER CONNECTION <br /> STATE SURCHARGE Yes '/ 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: c-/- '/e5 <br /> Fire Department: Otoutfj Post Office: t School District: (t,esr0,0 4 <br /> Lot Area: (p, , 40(,5Width: 5 o f-t.- t Depth: o ±' <br /> Survey Submitted: Yes Dc No Date of Survey: 7- f 't- <br /> Proposed Setbacks: <br /> Front (hake) : 270( Right Side: yo ' <br /> Rear (scree+-) : Z 5d f ' Left Side: 330 ' <br /> UM-BuAdjacent Structures: 9'O I ' Wetland: /UM- <br /> Building <br /> ilding Height: Def. Hgt. / 917.1t Peak Hgt. Z7 <br /> Avg. Setback: /UM Lot Coverage: / l� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' All <br /> 250-500 ' Alli <br /> 500-1000 ' / <br /> Hardcover Varia e Re.,uired. Yes No Date of •uncil Approval: <br /> Grading: Staff Appro al D=te: Co cil Approval Date: <br /> PP <br /> Septic: Staf Appro al ',ate: By: <br /> P <br /> Zoning File # Res. ution # if Resolution Date: <br /> REMARKS ( • i house) : <br />