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`�n"� ..5� <br /> CHECK OFF LIST FOR ISSIIANCE OF PERMITS � <br /> FOR OFFICE USE ONLY <br /> '1DDRESS OR LEC=AL: / ZD S D lCk��s�/" PID: <br /> DSSCRIPTION OF WORR: 'kJ C�< <br /> -------------------------- ------------------ <br /> �ONING REVIEW BY- DATE APPROVED: s - /7 -� 3 <br /> BIIII.DING REVIEW BY: DATS APPROVED: S' '� -� 3 <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 ✓ No WATER CONNECTION <br /> I;IVESTIGATION FEE Yes No f PARR FEE <br /> SAC Yes No .� SITE INSPECTION <br /> Number of SA,C IInits OTHER (specify) <br /> ------------------------------------------- <br /> --------------------- <br /> ZONING CHECK LIST Zoning District: �2'IQ <br /> Fire Department• � )_� Post Office:�zA-TY-� School. District: ���v� <br /> Lot Area: Z Z ,So� Width: l.S� Depth: r SZ� <br /> Survey Submitted: Yes No C Date of Survey: X pG �� <br /> � SG� �v2vE.,fnit5 i4 � � ��- /� <br /> Proposed Setbacks: �" <br /> Front (��'1' : /�lfr Right Side: � 6 z <br /> Rear (St�ee�) : Ys 2-- Left Side: C.� `�7 <br /> Adjacent Structures : �¢-T7y�I�(� Wetland: /l�J� <br /> Building Height: Def. Hgt. � Pe k Hgt. <br /> � <br /> , <br /> Ang. Setback: ' L Cov rage: � <br /> Existi g Propo�ed <br /> , j / <br /> Hardcover: 0-75 f � <br /> , <br /> ;, �' <br /> 75-250 ' ' �� � <br /> ' / � <br /> 250-500 ' �� � � <br /> ��___________—._�.___ .1 <br /> 500-1000 ' ,%" � <br /> i <br /> Hardcover Variance equired: es No D e of Council Approval: <br /> � <br /> Grading: Staff Ap�roval Date• By:�_ Council Approva� Date: <br /> i' <br /> ;' , <br /> Septic: Staff Ap�roval. Date:' <br /> Zoning File:� Re olution #: Resolution Date: <br /> ; <br /> REMARKS (in h nse) : „ <br />