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� CHECX OFF LIST FOR ISSIIANCE OF PERMITS <br /> t r OR Or r ICE USE OIv'LY <br /> P�DRESS OR LEGAL: �''j�fS C��(:w�;c��0 I-�( l.,l.. S-. PID: <br /> DESCRIPTION OF WORR: -w�-�� c- � �'e U� <br /> ------------------ <br /> _��----------------- <br /> ------_----_ 3 <br /> ZONING REVIE'�'1 BY: --- DATE APPROVLfD �7 I6 �1 <br /> ___l��l _ <br /> BIIZLDING REVIEW BY: <br /> D DATB APPROVED: Cj '(6 "5� <br /> -------- <br /> -------- ---------- <br /> FEES TO B$ CHARG�' Misc. Fees Calculated By: <br /> PERMIT Yes ✓ ' No " <br /> PLAN RE'VIEW Yes�� No SEWER CONNECTION <br /> STATE SIIRCHARGE Yes�� Na WATER CONNECTION <br /> I�IVESTIGATION FEE Yes No � PARR FEE _ <br /> SAC � Yes No � SITE INSPECTION <br /> Number of SAC IInits OTHER (specify) <br /> ------------------------------------ <br /> -------- <br /> ------------------------- <br /> ZONING CHECK Z�IST Zoning District: R�-`�� <br /> � Post 0.��"ic School District: <br /> Fire Department- ,�yt � _- <br /> t �-� <br /> / s `,-�' � <br /> t t __� � �gt�i": <br /> Lot Area: � WidtY: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: v� N <br /> Front (L-a�3ce) : N �(� Right Side: <br /> Rear (S-tr�"et) :�.(�f� Lef t Side: � 11.S��Q � <br /> Adjacent Structures : ,¢T774«-fL'Z� Wetland: /'�U/4�" <br /> Buil.ding Height: Def . Hgt. fl/ ;�/i Peak Hgt /V(�'� <br /> ,, <br /> nvg. Setback: � Lot Coverage: <br /> , Existing Proposed <br /> � <br /> fiardcover: 0-7� ' �. ` <br /> 75-25 ' �� - <br /> ,. <br /> 250-5a ' � <br /> `, <br /> , , <br /> 500-1000 ' <br /> Hardcover Vari�.nce Required: Yes No Date_ of �ouncil Approval: <br /> Grading: Staff Approva2 Date: By: Council ApprovaJ. Date- <br /> Septic: Staff Approval Date: BY= <br /> Zoning File• � ResoJ.ution �� Resolution Date: <br /> RFI�SARKS (in honse) s <br /> � � , <br />