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. CHECR OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI,: ��Y[p� /t/.e?J� /C�.�'t T/f�'c-c� PID: l�`�// 7 '.�,j' �`� <br /> DESCRIPTION OF WORR: ��L/ '� �e�r�� <br /> ------------------------- ------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: (O - ( q- S�/ <br /> BIIILDING REVIEW BY: � �� DATE APPROVED: ��-�g' �1� <br /> FEES TO BE CHARGED: Misc. Fees CaJ�culated 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 �/' PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------/-� ----------------------- <br /> ZONING CHECR LIST Zoning District: /Ql�-�IQ <br /> Fire Department: L �- Post Of f ice : �-�— Schoo� Di strict: C��LON-0 <br /> Lot Area: (�o, �ig 5�� wiath: 3Zo' � ,q� Depth: 37�.>, -� ,ati-e <br /> Survey Submitted: Yes� No Date of Survey: /d-io-�rY <br /> Proposed Setbacks: � , <br /> Front (L-�r3c�) : S 1• D Right Side: (73 � <br /> Rear (Str��t) : 230' Lef t Side: '-��J.Z� f <br /> Adjacent Structures : ��� Wetland: �Yd <br /> Bui lding Height: Def . Hgt. Z`} Peak Hgt. '�"� <br /> Avg. Setback: L t Cover g : <br /> E i ting Propos d <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: s N Date of Cou cil Approval : <br /> Grading: Staff Approva� Date: �0- 1�- 9y By: p�(9, Counci� Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning Fi�e: # N ! � Resolution # : Resolution Date:� <br /> REMARRS (in house) : <br />