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• • • - CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> , � _ - FOR OFFICE USE ONLY <br /> � <br /> ADDRESS OR LEGAL: ydtClS ��ys/�� �`� PID: <br /> DESCRIPTION OF WORR: � <br /> --------------���5---------- <br /> ---------- -- ------------------- • ,r <br /> ZONING REVIEW BY: � DATE APPROVED �a � <br /> BIIILDING REVIEW BY: DATS APPROVED: b' Z�` � 1 <br /> ------------------ ----- <br /> FEES TO BE CHARGED• Misc. Fees Ca�culated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes-Z��No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�� PARR FEE <br /> SAC Yes No—�/ SITE INSPECTION <br /> Number of SAC Units OTHER {specify) <br /> --------------------------------- <br /> ------------------------ <br /> ZONING CHECR LIST Zoning District: ✓��-`"�� <br /> Fire Department: <br /> /�/ v Post G �� Schoo� District: <br /> Lot Area: � ��-- Width: Depth: <br /> Survey Submitted: Yes� No Date of Survey: v� LC� <br /> �--z3 -8-� <br /> Proposed Setbacks: 23 � � <br /> Front (� : /v�� Right Side: � <br /> � � � <br /> Rear (S��t) : � Lef t Side: / 6 -�- � <br /> Adjacent Structures: /'��u�� Wetland: ��� <br /> Bui l.ding Hei ght: Def . Hgt. � . /�-- Peak Hgt. <br /> Avg. Setback: Lot Covera e: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varian e Requi ed: Yes No Date of C unci� Approval: <br /> Grading: Staff A proval. D te: By. Coun ' � Approva� Date: <br /> Septic: Staff Ap roval Date• BY= <br /> Zoning File• # Res utio # • Reso ution Date: <br /> REMARRS (in house : <br />