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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ` FOR OFFICE USE ONLY <br /> . / i _` ' �- <br /> ADDRESS OR LEGAL: `�% ,}� G� �� � � -�,. j'�_ � PID: � � � � / � ' � <br /> DESCRIPTION OF WORR: � � ' > <br /> -------------------------/--/-� ------------------------_-------------------------- <br /> ZONING REVIEW BY: /v ` n DAT$ APPROVED <br /> BIIILDING RSVIEW BY: � DAT$ APPROVED: ( l'�-`�,fl ' `7 Z- <br /> F$ES TO B$ CHARGF.D: 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�� PARR FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning Di trict: <br /> Fire Department: Post Off ' ce: School. D strict: <br /> Lot Area: Width: Depth: <br /> Survey Submitted es No D te of Su vey: <br /> Proposed Setbac s: <br /> Front (Lak ) : ight Sid : <br /> Rear (Str et) : eft Sid : <br /> Adjacent truct res: Wetland: <br /> Bui�ding Heig t: De . Hgt. Peak H t. <br /> Avg. Setback: L Coverage <br /> E isting Proposed <br /> Hardcover: 0 75 ' <br /> 75 250 ' <br /> 250 500 ' <br /> 500- 000 ' <br /> Hardcover V riance Requi ed: Yes No ate of Council Appro al: <br /> Grading: S ff Approval ate: By: Council Approval ate: <br /> Septic: St f f ApprovaJ. Da e: B : <br /> Zoning Fil :# s lutio �: Resolution Date: <br /> REMARRS ( ' house) : <br />