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CHECR OFF LIST FOR ISSIIANGE OF PERMITS <br /> ' • � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 22-1 S Q✓��/�l l�c W P(,�1C.G PID: <br /> DI�SCRIPTION OF WORK: �Q 1 n�� — Yo �-c.:.� � C,u9 CSi:� <br /> ------------------- - - , <br /> --------------------- ------------------------------ <br /> ZONING REVIEW BY- -- �� '," DATE APPROVED: //— 2 fs"- 5 <br /> BIIII.DING REVIEW BY: DAT$ APPROVED: � � ` �� �� <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 f No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes Na SITE INSPECTION <br /> Number of SAC Units OTHER (specif y) <br /> ----------------------------------------- <br /> ZONING CHECK LIST Zoning District: L/2 - �C-- <br /> Fire Department: ! ';Post Of f�e: ho�!-Di stri ct: <br /> i j % � <br /> Lot Area: idth: �� e <br /> Survey Submitted: Yes� No Date of Survey: Y-/�- ��- <br /> Proposed Setbacks: � r- <br /> Front (Isak�e) : N�f� Right Side:�� <br /> Rear (�'�-�-"�) • -?(o' �= Lef t Side: �� � (��� <br /> Adjacent Structures: �(Z-�+ Wetland: /(/{� <br /> Buil.ding Height: Def . Hgt. �� . (� _ Peak Hgt. G • ��- <br /> Lot /Coverage: �� <br /> Avg. Setback: � <br /> xisting Pfroposed � <br /> i ;' <br /> Hardcover: 0-75 ' %� <br /> 75-250 !� � <br /> / / <br /> 250-SOq�' � � � <br /> ;, <br /> / i � <br /> � 500-10�00 ' � ' — j <br /> Hardcover Va�riance R Iquir�d: Yes - , No �� Date of� Council Approval: <br /> � . �� � <br /> Grading: Stt�aff Appro al �ate. /, By. C uncil ApprovaJ. Date: <br /> � , <br /> Septic: S�aff Approv 1. ibate: ; _;' BY= <br /> Zoning E-ile:# Resol�tion �,: Resolution Date: <br /> ; � <br /> REMARKS (in house) : , <br />