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I ' I <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1� �` f31(� � S�.tAr�✓� <br /> PID: <br /> DESCRIPTION OF WORK: lu C�J R�5 <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � C DATEAPPROVED: y-z�-�`( <br /> BUILDING REVIEW BY: DATEAPPROVED: Y -Z► -�`� <br /> FEES TD BE CHARGED: Misc. Fees Calculated By: <br /> � <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓� No WATER CONNECTIDN <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No �'' SITE INSPECTION <br /> Number of SAC UtZi.ts OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST zo,2rng Districr: <br /> Fire Departn�ieat: Post O�ce: Sclaool District: <br /> LotArea: S9.ft. �Z� �`t`� Acres 2.��5 Width Depth <br /> Scuvey S«�ntiitted: Yes X No Date of Sairvey: � ' Z2- '°`� <br /> Proposed Setbc�cks: , , <br /> �re�-{I.ake): �l S ± Right Side: 8`�_ t <br /> hk�rr(Street): ZS��3 Left Sirle: �7• 5 � <br /> Adjaceiit Structt�res: N �� Wetland: ^ <br /> Building Heiglit.• Def. Hgt. Z�' � Pea�Hgt. 3z• 5 <br /> Lot Cove�•age: N �� <br /> Grading: Staff Approval Date: — By: Cocuicil Approval Date: <br /> Septic: StaffApproval Date: % � Q`� By: r �- <br /> Zoning File: # 3'���5 Resolutior2:# Resolutiai Date: <br /> Shorela�itl Dist�-ict: V 25 <br /> Avg. Setback: VA(i-�V�v c� Blciff Setback: /`� l� I.otCoverage: N l/� <br /> Existing Proposed <br /> Hardcover.• 0-75' <br /> 75-250' ('.)C <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No DL Date of Cowicil Approval: <br /> REMARKS(in house): <br /> 31 <br />