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. CHECR OFF LIS1 FOR ISSIIt�NCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �3� C-� X F'A r��M �`� PID= <br /> DESCRIPTION OF WORR: �1 E� ��S <br /> -------------------------{�------------------------------------------------------ <br /> ZONING REVIEW BY: ��,,,�o C�e,�„- DATE APPROVED: �o � �-� Z <br /> BUILDING REVIEW BY: �-,� (QJ��-- DATE APPROVED: S " Zc7"�7 2-- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t� No <br /> PLAN REVIEW Yes v' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/' PARK FEE <br /> SAC Yes NoT� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: �(�-1� <br /> Fire Department: (A,�,c,La�cc Post Office: (,o,.,c,C.A� SchooJ� District: p2�vo <br /> —� <br /> Lot Area: I I I So�± 2.s c�5�7idth: �,q,�,G� De�th: �,a,c,�-� <br /> Survey Submitted: Yes_�C No Date of Survey: ll-l`t-`�I <br /> Proposed Setbacks : <br /> Front (-�a�}�: q� �t Right Side: gy•� <br /> r <br /> Rear (Street) : `-1b�D � Lef t Side: g"1 <br /> Adjacent Structures :_���� Wetland: 235 -� <br /> Buil.ding Height: Def . Hgt. 2Z_ Peak Hgt. Z�� <br /> Avg. Setback: N/A Lot Coverage: /V�i4 <br /> Existing Proposed <br /> Hardcover: 0-75 ' (� <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required : Yes No �Date of Council Approva�: <br /> Grading: Staff Approval Date: B : Council Approva]� Date: <br /> Septics Staff Approval Date: B <br /> Zoning File: # R so ut on #• Resolution Date: <br /> REMARRS (in house) : r�^ <br /> I! <br /> � � <br /> F <br />