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CHECR OFF LIST FOR ISSUANCE OF PERMITS <br /> . � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �-�"�, 1 ���.�t-�' r �' 1'�'�^ PID: <br /> D$SCRIPTION OF WORR: y� ��"�Tr-'��- �" �'`�j <br /> ----------- <br /> ----------- ,-- _ .-- <br /> ZONING REVIEW BY: �-� �ia��•�-- _ DAT`E APPROVED: �.. ..���_._��.�- <br /> ' ' DATS APPROVED: <br /> ' 'a <br /> BIIILDING REVIEW BY: /L' � � _ _ _ ----------- <br /> ---------------------- <br /> ---------------- <br /> FEES TO BE CHARGE�' Misc. Fees Calculated By: <br /> � _ �u4rvr:% Y�-�,_t"`'g�rT2-,;..> <br /> PERMIT Yes �'- ` No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> No WATER CONNECTION <br /> STATE SURCHARGE `�eS No pp,RK FEE <br /> INVESTIGATION FEE Yes SITE INSPECTION <br /> SAC Yes No <br /> OTHER ( specify) <br /> Number of SAC Units __�--------------------- <br /> -------------- <br /> --------------------- � <br /> ZONING CHECR LIST Zoning ;District: I <br /> Fire Department: <br /> Post Office• ' Schoo�. District: <br /> I � <br /> Lot Area: <br /> Width: Depth: <br /> i ' <br /> Survey Submit � ed: Yes No Date o� Survey: <br /> ; <br /> r <br /> Proposed Set ack : Right;' Side: <br /> Front ( ake)��: <br /> � 1 j� <br /> ' '� Left/� Side: <br /> Rear (S�treet� : ' <br /> I ; <br /> Adjace t Str�ctures: r Wetland: � <br /> , <br /> � Peak Hg�. ': <br /> Building He;ight: �ef . Hgt. �' <br /> � Lot '��overage: <br /> Avg. Setba�k: � proposed <br /> , Existing <br /> i <br /> ,' I , <br /> Hardcover:' 0-75 ' I '` <br /> ! �� ; <br /> �5-250 ' <br /> 1 <br /> 2�0-500 ' t <br /> 4 <br /> 50�-1000 ' ' � <br /> ' Date of Counc�.l Approval : <br /> Hardcover� Variance Re`quired: Y�s No 1 <br /> � �� � � Council A�prova� Date : <br /> Grading: 'Staff Approval Date : � BY= <br /> Septi c: S!taf f Approval Date: By� <br /> Zoning File: � _ <br /> Resolution # • Resolution Date:_�_ <br /> gEMARRS (in house) : <br />