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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: YGBv /��hj 20� <br /> PID: <br /> DESCRIPTION pF WORK: ¢, �r,� �c�l Ached wSQ-� <br /> ---�='-���Iruc�--�=-Ccn---�'�ln -- S--ln--Q-- �------------------------------------- <br /> ZONING REi�lEW BY.• � DATEAPPROVED: `d <br /> BUILDINGREVIEWBY.• ,( DATEAPPROVED: �G - B-O? <br /> FEES TO BE CHARGED: Misc. Fees Calculated 13y: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes� No WATER CONNECTION <br /> �p� � --�INVESTIGATION FEE Yes ✓ No��°`�' PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Narmbe��of SAC Units OTHER (spec�) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST zoning Drstricr: L�-�� <br /> Fire Departnre��t: Post Office: School Disb�ict: <br /> Lot,4rea: Sg.ft. Acres GVidth Depth <br /> Sauvey Subnzitted: Yes No Date of Szu•vey. <br /> Proposed Setbacks: <br /> Front(!ake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Strz�ctarres' YVetland: <br /> Btri(ding Herght Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Gradrng. Sta�jApprova!Date: L3y: Cour�cil Approval Date: <br /> Septic: StaffApp��oval Dale: /V !� By: qppr�L{ <br /> g -� �lv2�rc�o� Sa�IriacK. <br /> Zoi�irr I�i1e: # ��7' S� Resolutiorr: # Reso/ution Date: `� 0 �, da.eK A�r►c.�.c( �O <br /> G I�k►rcica.e.� hw5� <br /> Shor•eland Dist�•ict: d�ICGf�D Pernail: ` <br /> Avg. Setback: Bh ff Setbacic: Lot Coverage.� <br /> �xisting Pr•oposed <br /> Hcai�dcover: 0�7.i' <br /> �-2.50' <br /> zsn-soo� <br /> soo-ioon� <br /> H�u•dcover l�ariance Required: }es ��'o Date of Catrrlcil�1 pproval: <br /> REMARKS(i�i lrouse): ���C m G- 7S'w���►'� o�� luooc(a..� Slx�trw� <br /> �* � �g'�.. <br /> 33 <br />