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CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> rOR OrcICE USE ONLY <br /> P�DRESS �R LEGAL: ,38g,�j ��R�{ YQ'V L - PID: � <br /> DESCRIPTION OF WORK: k�EC�� <br /> ------------------------- ------------ <br /> ----------------- � - <br /> ZONING REVIEW BY: ,N�•�-, DATE APPROVgD: ���!-� _ <br /> BIII�DING REVIEW BY: DATS APPROV�D: ^7-'/g"''I�3 - <br /> ------------------- ------ <br /> FEES TO BS C�RGED- Misc. Fees Calculated By: - _ _ . <br /> PERMIT Yes f No � . <br /> PLAN REVIEW Yes—� No�- SEWER CONNECTION <br /> STATE SIIRCFiARGE Yes�� No � . P�RFEE�ECTION <br /> INVESTIGATION FEE Yes No _ <br /> SAC � Yes No -� SITE INSPECTION <br /> Number of SAC IInits OTHER (specify) <br /> ------------------------------- <br /> ------------------------ <br /> ZONIi7G CHEC�C LIST Zoning District: L� ��L <br /> Fire Department: �11 �t� os c oo Dis ric : <br /> Lot Area: /(JO ('��'LL�'�o�-d epth: <br /> Survey Submitted: Yes D< No Date of Survey: t • � � '�7 <br /> Proposed Setbacks: �� � <br /> Front (�a�e) : 3Y' Right Side: <br /> Rear (St-�c�t) : N�g <br /> Left Side: ?5� � - <br /> Adjacent Structures: i¢'7'71��� Wetland: /�1� <br /> Buil.ding Height: Def. Hgt. O ti k-- Peak Hgt <br /> Avg. Setback: f^� � � Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' ��• <br /> 250-500 ' <br /> 500-1000 ' <br /> i <br /> Hardcover Vari ce Reguired: Yes No Dat of Council Approval: <br /> Grading: Staff A roval Date: By: Co cil. Approval. Date: <br /> Septic: Staff pp oval Date BY• � <br /> Zoning File: � R solution �: Re o�ution Date: <br /> REMARRS (in h se) : <br />