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,�.. �►�- CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> . . . . <br /> .ADDRES S OR LEGAL: �t��� s� C.��!`��_..��'v ,�'� PID: <br /> JESCRIPTION OF WORR: �N C4 � ��`' �r�f) ��-°='� — �t �� i N ►'�(�:� <br /> ---------------------- -- ---------------------- _ -3� - <br /> ZONING REVIEW BY: DATE APPROVED '�1 �r3 <br /> BIIILDING REVIEW BY::_ % _ DAT$ APPROVED: �' -30 ` � � <br /> FEES TO BE CHARGED: J Misc. Fees Calculated By: <br /> t/� <br /> PLANIREVIEW Yes� No L'-" SEWER CONNECTION <br /> STATE SURCHARGE Yes �' No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v' PARK FEE <br /> SAC Yes No L%' SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: . ,/� Post Office: � � School District: Q�C'�i?i(? <br /> Lot Area: �/� � !A�/t'�S Width: Depth: <br /> Survey Submitted: Yes�C No Date of Survey: <br /> � <br /> Proposed Setbac s: / � <br /> Front (La ) : Right Si e: <br /> r <br /> Rear (Stre ) : Left Sid : / <br /> � <br /> Adjacent S r ctures: ; Wetland: , ,� <br /> � � <br /> � ? �� <br /> Bui].ding Height D f. Hgt. _ Peak Hgt� <br /> � , <br /> Avg. Setback: � LotiCoverage: _j _ <br /> ' E isting PXoposed '� <br /> , <br /> Hardcover: 0-75 � : i <br /> j <br /> 75-250 � <br /> 4 ' <br /> 250-500 � � <br /> � <br /> i � <br /> 5oo—i000 � '� i <br /> Hardcover Varia�ce Require : Ye� No Dalte of Council Appr�va�: <br /> � � <br /> Grading: Staff �pproval Dat�: y:�;,_ Council Approval.�, Date: <br /> � �� � <br /> Septi c: Staf f A�prova7. Date: � BY- 1 <br /> i � <br /> Zoning Fi�e:# ; Resol�ti�on # : � �` Reso7�ution Date: <br /> �,� � � <br /> REMARRS (in hou�e) : � <br /> 1 <br />