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OFFICE USE ONLY <br />r- n F n <br />,gibJ 1 <br />U V V ATE RECEIVED: G) - <br />CHSCX OFF LIST ITS <br />PROJECT NO.: _ <br />ADDRESS: 11C� �Z`� C' �F. r Z �i�i �� _ PID: C� %��% ' n' 3 ZI oT l ... <br />ZONINr REVIEW BY: <br />Zoning District: l <br />Fire Dept.: <br />Post Office: <br />Zoning File:# <br />Council Approval: <br />Resolution: <br />Hardcover: Existing%: <br />Grading: Staff Approval Date:____ <br />BUILDING REVIEW BY: <br />Estimated Construction <br />valuation:$ <br />Bldg Permit: $ <br />State Fee: $ <br />Plan Review: $ <br />SAC: $ _ <br />Sewer Uni': <br />Park Fee: $ _ <br />Penalty: $ <br />Other: $ <br />TOTAL: $ <br />REVIEW BY OTHERS: <br />Lot Area: I <br />Width: Depth: <br />Proposed Setbacks: <br />Front: R.Side: <br />Rear: L.Side: <br />Lake: <br />Access- New <br />Proposed%: <br />Wetland:- <br />Existing <br />Council Approval Date: <br />Inspections Required: <br />Footing <br />_Framing <br />Insulation <br />Wallhoard <br />Final <br />Site Inspection <br />Work Requiring Separat( rmits: <br />Plumbing <br />Gr ng/Pilling <br />___Mechanical <br />Fire <br />well <br />water <br />Septic <br />--Sewer <br />Fireplace <br />REMARKS TO BE NOTED �)N PERMIT: <br />,irk <br />FOCI <br />