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CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> ' � FOR OFFICE USE ONLY <br /> . � � <br /> . <br /> AD�RESS OR LEGAL: � ' ��(� �`�'L� •�=7� CL'z�-�� � M c PID: <br /> f . ;. <br /> DESGRIPTION OF WORR: '--� -y�-c'�� �_. l-�. ,.i d 2 �. <br /> ---------- -- --------� --------- <br /> ------------------------ <br /> ZONING REVIEW BY- DATE APPROVED: �j - /3-�S <br /> BIIILDING REVIEW BY: DAT$ APPROVED: �" �3�� S� <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 /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER ( specif y) <br /> ----------------------------------------- <br /> ZONING CHECR LIST Zoning District: ---- <br /> Fire Department• � "�v Pos't�0�ff�L�G � SchooJ: District: -� <br /> Lot Area: YL/��o S � Width: Z.� S Depth: Z D 7 <br /> Survey Submitted: Yes OC No Date of Survey: � a — � 3 -�s3 <br /> Proposed Setbacks : �, <br /> Front (L�e) : /t/�� Right Side: I 2�� �- <br /> Rear (S�eet) : ? <br /> � ' � Left Side: (�f1 � � <br /> Adjacent Structures : IZ' wetland: /'`��f�- <br /> Bui7:ding Height: Def . Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existin roposed <br /> Hardcover: 0-75 ' �� <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' ��� <br /> Hardcover Variance Required: s No D �te of Co ci]. Approva�: <br /> Grading: Staff Approval Date By: Co il A prova7. Date: <br /> Septic: Staff Approval Dat : Y� <br /> Zoning Fi].e: # es �u on # : Reso�u ion Date: _ <br /> REMARRS (in house) : <br />