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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �S9?j GR.�IST�- p�-"�u= PID' <br /> /Lc.-w�ro d CZ <br /> DESCRIPTION OF WORR: AIOiO177d/�� <br /> --------------- <br /> -------------------- ---- ----------- � <br /> ZONING REVIEW BY: <br /> DATE APPROVED: �"�Z `�S <br /> BDII,DING REVIEW BY: DATB APPROVED: 7-12-�1 S <br /> ----------------------- ----------- <br /> FEES TO BE CHARGED• Misc. Fees Calculated By: <br /> PERMIT Yes ✓" No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes i/' 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: L� � ��' <br /> Fire Department: /YI Post Office: ,�1 School. District: D <br /> Lot Area: �'r 7/5 S �i Width: 5� Depth: �Y�• <br /> Survey Submitted: Yes� No Date of Survey: 1- �'' g� <br /> Proposed Setbacks : � <br /> Front (�) : �g � Right Side: 1�, � <br /> N A Left Side: 1�� '�'� <br /> Rear (�') = ' <br /> Adja�ent Structures : � Wetland: /J/A <br /> Building Height: Def . Hgt. p . {�- Peak Hgt. � • ��- <br /> Avg. Setback: N�✓� Lot Coverage: 1�• � <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' - <br /> 250-500 ' <br /> 5oo—i000 � ��.5 Zz.y <br /> Hardcover Variance Required: Yes No o� Date of Council Approva�:__ <br /> Grading: Staff Approval Date: N �"}- By: Council Approval. Date:_. <br /> Septic: Staff Approval. Date: /���} By: <br /> Zoning File: # 1�7 72- Resolution # : � y�J`'( Resolution Date: /��/`/��i <br /> REMP,RKS (in house) : <br />