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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR Z�EGAI,: ��ZS �U NT('�-� L..��� �� PID: <br /> DESGRIPTION OF WORR: �f�.� =L-►�- <br /> ---------------------- --------------------------- <br /> -------------------- ----- -- <br /> ZONING REVIEW BY: �,., C� DATE APPROVED: -,,, -.� � S <br /> BIIILDING REVIEW BY: � ' � (,�� DATE APPROVED: ; - � - � 5 <br /> -----------------------f= ---------- <br /> ------------------------------------------ <br /> FEES TO BE CHARGED� Misc. Fees Ca1cul.ated By: <br /> PERMIT Yes �/^ No <br /> PLAN REVIEW Yes �j:. 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 /> --------- <br /> ZONING CHECR LIST Zoning District: lCI�• t�� <br /> Fire Department• Post ice %' c�o District: <br /> /" � <br /> l' f T C / � <br /> Lot Area: idth: e <br /> Survey Submitted : Yes�_ No Date of Survey: vh A� I > 0`�L � <br /> Proposed Setbacks : � ' �_ <br /> Front (�e) /�f 1 y� Right Side: d ��% <br /> � <br /> R e a r ( ��-�t) = �`'' <br /> � -� Left side : � 3� �- <br /> Adjacent Structures : ►`��%��M�-� Wetland : /U/(� <br /> Buil.ding Height: Def . Hgt. ' �'eak Hgt,,:/ <br /> Avg. Setback: Lo�Z C erage: �' <br /> Existi g ;Pr osed � <br /> Hardcover: 0-75 ' <br /> /: �,- i <br /> i <br /> r <br /> 75-250 ' <br /> 250-500 ' <br /> / �.� <br /> 500-1000 ' 1 <br /> Hardcover Varians�e Require : Yes No Date of C uncil Approval: <br /> %� $ Coun �il Approval Date: <br /> Grading: Staff�Approva�. D te: Y� <br /> Septic: Staff�Approva7: Da e: �- BY= <br /> , <br /> Zoning FiJ���: # R,�solutiorj/# : Re ol.ution Date: <br /> .; <br /> REMARRS �/in house) : '� <br /> ; <br /> ;� � <br /> ,� <br /> i <br />