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. y <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ,� (-� � � � �; (;!�; �, <br /> PID: --°. <br /> DESCRIPTION OF WORK: �oa/ {��S� <br /> ZONING REVIEW BY.• � DATEAPPROVED:�~��� �� <br /> B UILDING RE i�IEW BY.• � DATEAPPR0I�ED: �_�c, _�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � � �'�� y�� <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 � SITEWSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: _ (��Y�_�—�Y�__��_��___�_�_ <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq ft. Acres �� � Width �D Depth �bS� <br /> Survey Submitted: Yes� No Date of Survey: �J �Z 7�(� / <br /> Proposed Setbacks: , � �— � ,. lel/ Z ��j�� <br /> ��� < �J <br /> Front�b�e): J�' 2 R�rght Side: <br /> r <br /> Rea�•(Street): ��� Le,�Side: ���� <br /> � / <br /> Adjacent Structures: �/ Go/ Wetland: /7�' <br /> BuildingHeight: Def Hgt. ;�� /� �� Peak Hgt. /� /� // C�XC. C v�'/�dEi ) <br /> Lot Coverage: O�� <br /> Grading.• StaffApproval Date: By: Council App�•oval Date: <br /> Septic: StaffApproval Date: __��'p�'�� �Cr- / <br /> �� <br /> Zoning File: #�7-333 -�,�' Resolution: # Resolution Date: —�Z��--= <br /> Shor•eland Disb�icL• MCWD Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> F�isting Proposed <br /> Hardcover: D-75' <br /> 75-250' <br /> 250-.i 00' <br /> �00-1000' <br /> Hardcovei• Y'ariance Reguired: Yes No Date of Council App��oval: <br /> REMARKS(in house): V/�►'1 �vlC� w� 4-a �'L � ac',�i � ,�cx�� I'lu-S.C. <br /> CloS'�.tl � o �v�I- �u4-- 1�hL. � v� � �s�i.,� <br /> .i 3 <br />