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. . . • CHECK OFF LIST FOR ISSIIANCE OF PERMI`rS <br /> ; FOR OFFICE USE ONLY <br /> c AD�RESS OR LEGAL: 228� A41Nfo�Oti1 WAy PID: ��- �/rI s� �S .�� Qf�'1 <br /> DESCRIPTION OF WORR: d E�-k Ad d i T10.�1 <br /> ------------------------------------------- <br /> ZONING REVIEW BY: �i.�o C �►�a-• _ DATE APPROVED: G'Z-�i2 <br /> -� <br /> BIIILDING REVIEW BY: DATS APPROVED: � • Z- `�Z <br /> --------------------- -------- <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 ✓' PARR FEE <br /> SAC � Yes No � SITE INSPECTION <br /> Number of SAC IInits OTHER (specify) <br /> ZONING CHECR LIST Zoning District: �-1� <br /> Fire Department: (�C,a,C.� Post Office: �tc� School District: �/!c <br /> Lot Area: � ,At�'S � Width: Z SO `Atr� Depth: 3S� � 14� <br /> Survey Submitted: Yes�, No Date of Survey: ?-2£s- ��_ <br /> Proposed Setbacks: <br /> Front (bajre� : N�A Right Side: I ll��+ <br /> Rear (G'�-��'-'�) = Zu�'+ Lef t Side: I 30�-� <br /> Adjacent Structures: �t�u�+ �� Wetland: n!/A <br /> Bui7.ding Height: Def. Hgt. eak Hgt. <br /> Avg. Setback: Lo Co erage: <br /> Existin ro osed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance quire : es No Date of C uncil Approval: <br /> Grading: Staff App oval D te y: Coun il Approval Date:_ <br /> . <br /> Septic: Staff Ap roval D t : BY= <br /> Zoning Fi7�e:# esolu ion : Re o�ution Date: <br /> RF9KARK$ (in nse) : . <br />