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� CHSCR OFF LI��T FGR ISSIIANCE OF PSRMITS - <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '��(DU (�f �GL/ PID: � I '/��'°� 3 7� �U/,j <br /> DESCRIPTION OF WORR: ��-e-�`'"" <br /> -------------------------�---------------------------------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED:�� � '`'( � <br /> BDILDING REVIEW BY: l'� G" ,,._ DATS APPROVED: I�' "� - � � <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 ✓' PARK FEE <br /> SAC Yes No �� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHECR LIST Zoning District: /L'�� <br /> Fire Department: /v �C— Post Office: � ��= School District: /L��L <br /> Lot Area: �i��� Width: Depth: <br /> Survey Submitted: Yes r�, No Date of Survey: -7 - i l� `�w <br /> Proposed Setbacks: , ; <br /> Front (-�rerk�) : ��i(;� 'fi Right Side: �l�t 0� <br /> Rear (Street) : ( �"c: �� Left Side: N�/�- <br /> Adjacent Structures : �T��=-� C� Wetland: h-�//�. <br /> Building Height: Def. Hgt. /L'(�} Peak Hgt. /V��<4 <br /> Avg. Setback: ,�" //f Lot Coverage: i���� <br /> Existing Proposed <br /> u�rdcev�r; n-?5 ' - <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Re uired: Yes N Da e of Co ncil Approval: <br /> Grading: Staff Appr val Date: By: Counc 1 Approval Date: <br /> Septic: Staff App val Date: Y: <br /> Zoning File:# � Res utio #: Res lution Date: <br /> r <br /> � • <br /> RBMARRS (in house) : <br />