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• ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: J� �7.� C.���!.� r��I'f'� .5� ,l��if �� ._PID: <br /> � <br /> D$SCRIPTION OF WORR: � ,Q-�atx`ls*n� ��-�'2 C�'�� — <br /> -------------------------------------�---------------------------Z--------d-- <br /> ZONING REVIEW BY: �;,; � I��.L y,,,�.— DATE APPROVED: I Z ' Z 5 �y <br /> BIIILDING REVISW BY:�����LJ wr— DATB APPROVffi�: 1 Z ' 2 S " �1 2 <br /> ������������������__1��������������������������������������������������������_. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�^ PARR FEE <br /> SAC Yes No �_ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------ <br /> ------------------------------------------- <br /> ZONING CHECR LIST Zoning District: R�'�Q <br /> Fire Department•� .� Post Office: N School District: i?/�L <br /> Lot Area: DO T L•6 Ac2c'Width: 2�O� Depth: 43� � <br /> Survey Submitted: Yes X No Date of Survey: /=�[3 8'3 <br /> Proposed Setbacks: <br /> Front (�}�e) : N fA Right Side: (Z 7 L� <br /> Rear (�tr.�e-t) • � Z?� Left Side: !/7 c� - <br /> Adjacent Structures: ✓�%T��-*f�=� Wetland: /1/�iA <br /> Building Height: Def. Hgt. 0. � Peak Hgt. <br /> Avg. Setback: L Co erage: <br /> Exi t ng Prop sed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' ' <br /> Hardcover Varianc Requi ed: Yes N D e of Coun il Approval: <br /> Grading: Staff A proval ate: By: Council pproval. Date: <br /> Septic: Staff prova]. D te: <br /> Zoning File:� Resol tion #: Resolu ion Datea <br /> REMARRS (in ouse) : � <br />