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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ///37 (A- 11106%., 42 5 ° PID: <br /> DESCRIPTION OF WORK: (3EOL <br /> ZONING REVIEW BY: � '• DATE APPROVED: -7- 19 - 95- <br /> e <br /> BUILDING REVIEW BY: Jr& DATE APPROVED: -1- (`'t <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes %./.--No <br /> PLAN REVIEW Yes ( 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: gde-" \a. <br /> Fire Department: L L. Post Office: CC- School District: bft '17 <br /> Lot Area: 0.'0 Cv-V Width: -- Depth: -- <br /> Survey Submitted: Yes .0.. No Date of Survey: oN Fiv4 '3-23-a% <br /> Proposed Setbacks: /„;� <br /> Front (L-an) : ,a14 Right Side: ( #J, <br /> Rear (S'et) : 230 ' Left Side: L% /0 <br /> Adjacent Structures: 22 ' Wetland: /i/0 <br /> Building Height: Def . Hgt. /j//A Peak Hgt. <br /> Avg. Setback: Lot Coverag= : <br /> •isting oposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Vari- ce Requ' red: es No Date of ouncil Approval: <br /> Grading: Staff Approval **ate: :y: Cou cil Approval Date: <br /> Septic: Staff Approval D=te: By: <br /> Zoning File: . Re •lut'on Re- olution Date: <br /> REMARKS (is house) : <br />