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' -� ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE OI3I,Y <br /> ADDRESS OR LEGAL: ��]S FCRNI�AC-E RoAD PID= <br /> DBSCRIPTION OF WORR: (� �-K <br /> ---------------------------------------------- <br /> ZONING REVIEW BY: DATS APPROVED: /D -Z1-52- <br /> BIIILDING REVIEW BY: � l�C�-- DATS APPROVED: � D - Z I- y Z <br /> ----------------- <br /> FEES TO BE CHARGF.D: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes� No SEWER CONNECTION <br /> STATE SURCAARGE Yes�� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/ PARR FEE <br /> SAC Yes No �/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------ <br /> -------------------------------------------- <br /> ZONING CHECR LIST Zoning District: �Q-l� <br /> Fire Department: WA��_o4� Post Office: u�AyZo4Tr9 Schoo� District: /�1/��. <br /> Lot Area: 43,750� ,�c.,�.t Width: 17 S' Depth: Z SD J <br /> Survey Submitted: Yes X No Date of Survey: $'-Ze -y�z <br /> Proposed Setbacks: <br /> � <br /> Front (�k�) : N Right Side: -SG t <br /> Rear (Stxe.e�t) : �i0 �� Left Side: !D �J ��' <br /> Adjacent Structures: �9-��`� Wetland: N�ia- <br /> Building Height: Def. Hgt. p� /t/��_ Peak Hgt. <br /> Avg. Setback• Lot Covera <br /> xisting Propose <br /> Hardcover: 0-75 ' <br /> 75-250% <br /> 250-500 ' <br /> 500-100 ' <br /> Hardcover Var ance Re uired• es N e o Council Approva].: <br /> Grading: Sta f Approv 1 Da e: By: C uncil Approva� Date: <br /> / <br /> Septic: Sta f Approva Da e: T_ By= <br /> Zoning Fi]. :� R solutio # : esoJ.ution Date: <br /> REMARRS ( n honse) : ,. <br />