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. �'� � CHECR OFF I,IST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR I�EGAI,: �4� C���� . �O� PID: <br /> DESC�IPTION OF WORR: w E-��O / ��-r^'✓"' ���'� - <br /> ----------------Q---------------•------ <br /> ZONING REVIEW BY- �Q�ww-- DATE APPROVED: �-2�''�i-3 <br /> BIIILDING RL�7IEW BY: DATS APPROVF.D: � '�-5 3 <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 J' PARR FEE <br /> SAC � Yes No G''" SITE INSPECTION <br /> Number of SAC IInits OTHER (specify) <br /> ------------------------------- <br /> ------------------------------ . <br /> ZONING CHE(� LIST Zoning District: �.�`�� <br /> Fire Department: r <br /> Post Office• LvN L11-dG� School District: O�ND <br /> Lot Area: �3��•$'�- Width: Y�f `t• �l Depth: 3 � �•S� <br /> Survey Submitted: YesrC No Date of Survey: <br /> Proposed Setbacks: <br /> Front (�) - �S� I '�' W Right Side: 3(O � <br /> Rear (�r�"j : ��{.S� "�' � Left Side: ! 2.0 N <br /> Adjacent Structures: 3 S � Wetland: ��/� <br /> Building Height: Def. Hgt. � • �L Peak Hgt. <br /> Avg. Setback: Lot C erage: <br /> Existing Pro osed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-i000 ' <br /> Hardcover Varianc Requir d: Ye No D te of Coun ' 1 Approval:__ <br /> Grading: Staff Ap roval Da e: By� <br /> Counci oval. Date: <br /> Septic: Staff App ova7� Date y' <br /> Zoning File:# 3 2 Res lu ion � : <br /> ResoJ.ut� on Date:��� <br /> �FHtARKS (1II t10L1S � : <br />