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CHECR OFF LIST FOR ISSDANCE OF P$RMITS <br /> FOR OFFICE USE ONLY <br /> i <br /> �/1 _ � � - � _ ._ � ��'� .�, <br /> ADnR�SS OR LEGAL: ..����C' /Z � ;� ' PID: � <br /> DESCRIPTION OF WORR: ����1 � � �+ ��J�- �� f� y�� <br /> , <br /> ---------------------�---f---------------------------------------- <br /> -----------� <br /> ZONING REVIEW BY: , �f� �`�.�, DATE APPROVED: _1 � ' . •-� <br /> BIIILDING REVIEW BY: DATE APPROVED: `'Z. "�`"�(�O <br /> --------------------- ----------------�------------------y�--- --�- ---------- <br /> FEES TO BE CHA.RGED: Misc Fees Calculated B _ <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 � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -----------------------------------------------------p-,-�-----------------------� <br /> ZONING CHECR LIST Zoning District: /� " '.�'. <br /> Fire Department: � f.�. Post Office: t'" ,'::' � School District: �,�� •''Y� ):`� <br /> ► <br /> Lot Area: l"!� �'��> Width: ��� Depth: j��''� <br /> Survey Submitted: Yes � No Date of Survey: �j�- ' �' /~` 7 <br /> , , , r <br /> Pr osed Setbacks : �'� ""'4! �'� �� . '�^,' <br /> :�.� Front �-�a.�e-� �f �`•�•'�. ' "�'�3�";" Right Side �� � - � Y � :�� �. �,,�.�j <br /> � ,�,,�1, . (�Y ^' � '�. V ���„(,J`I �"- <br /> � Rear (�---�z-� ��.- . 1 Left Side � - . , ,� ..,'r <br /> � r <br /> Adjacent Structures :�,'?'T�t=�,r ` , Wetland: r:�:--_—. <br /> Bui lding Height: Def. Hgt.� ���"� � Peak Hgt. f�c` � <br /> � ,, � ,� <br /> Avg. Setback: ��}-�-_ Lot Coverage: =- � �- <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' � ° <br /> � , <br /> 250-500 ' � <br /> 500-100� ' s� ' <br /> Hardcover Variance Required: Yes No X Date of Council Approval: <br /> 11 Council A roval Date: � <br /> Grading: Staf f Approval Date:,/' y �/ -- By:: ;`�`��; PP <br /> a <br /> i <br /> Septic: Staf f Approval Date: ���� By: ��`"v' ? <br /> � <br /> 1 �, <br /> Zoning File:# / 1 � � Resolution #: ' r Resolution Date: f�� `' � ��' ; <br /> i <br /> RBMARRS (in house) : _ � <br /> i <br /> - - � <br /> � <br /> � <br />