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__ , . _ . . _���.r.�C //-�'�'6 .. <br /> � .. �.. __._ . _ . __. _ ._ _ <br /> � - � CHECR OFF LIST FOR ISSIIANCE OF PffitMITS <br /> � FOR OFFICE USE ONLY <br />• � , <br /> . ! <br /> ; �,nnx$ss oR r�c�,: �`> �� �,Y �"C( ' rin: Of3 �- �l�- 2� 3 2_. f?'�'�� <br /> . „ . <br /> � �'"1 - �. �..,� + , _ <br /> . � DESCRIPTION OF WORR: � "°' � '� � ' ' <br /> - ----------------------- ��.1------------------------------------�-- � <br /> ----------- <br /> ., ZONING REVIEW BY: � i� '�.. DATE APPROVED: �� " - . - <br /> „r . BOILDING REVIEW BY: 1 � __ DATB APPROVED: ( l - � -�I �--> <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 vy' PARK FEE <br /> SAC Yes No ✓� SITE INSPECTION <br /> ' Number of SAC Units OTHER (specify) ` <br /> ----------------------------------------------------------- ----=�------------- <br />- ZONING CHECR LIST Zoning District:� � -- � �;; <br /> _ Fire Department: �'''' � Post Office:��11 � School District: ��`-�--�' <br /> � <br /> = , <br /> Cl X t <br /> . Lot Area:J;'� , �'/ � r� �' Width: / R ` !1 � Depth: I C1� '� <br /> Survey Submitted: Yes� No Date of Survey: �/�-r_`�/ � �} <br /> Pr�osed Setbacks: „ . ' <br /> � 1 Front (•��e�: � ! � Right Side: " � � <br /> � Rear (^�-t-) ' i I � Left Side: ^ � - <br /> - � - .. _ <br /> Adjacent Structures: � ��' �"t E���--- Wetland: �`�� J� <br /> �� <br />,:-�. -:: <br /> � Building Height: Def. Hgt. �--- Peak Hgt. --- <br />.r i;;,�:�ci . <br /> � s Avg. Setback: --- Lot Coverage: 3�g Z ' �C�l�� -F- �}2� <br /> Existing Proposed � Z�q �� <br /> � ) �/ <br />" �� Hardcover: 0- ' ���1,- s��',� �� �'4'C� �l �i, �^ ��a <br /> _ • y � ��,� . <br />- - 75- o � <br /> 3�I nz�� � . <br /> `: � � <br /> � <br /> . 250-500 ' � ; /��� � � Ci� � � , 'o�rfl <br /> . ^ �,, � <br />=� 500-1000 ' <br /> � Hardcover Variance Required: Yes No� Date of Council Approval: <br /> 5�'.'�" `�"� Grading: Staff Approval Date: By: Council Approval Date: , <br />� ��, Septic: Staff Approval Date: - By: � <br />� .. Zoning File:# Resolution #: Resolution Date: � <br />< RSMARRS (in house) : � <br /> i <br /> . . i <br />. " I <br /> ; <br /> � <br /> , <br /> - I <br /> � <br />