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CHECR OFF LIST FOR ISSOANCE OF PERMITS <br /> FOR ��FFICE USE ONLY <br /> ADDRES S OR LEGAL: '?�,`> L j= � '� PID: <br /> DESCRIPTION OF WORR: �,�-�'v'1�� ,.cL�,�' r�4"' <br /> ---------------------�---- ------------------_--�-------7---------------- <br /> ZONING REVIEW BY: �' l T ,ct,,� DATE APPROVED i 2 y `� <br /> } � � <br /> BIIILDING REVIEW BY: - ' ��u DATE APPROVED: t ( - 2��� � <br /> -----------------------r ------------------------------------------------------� <br /> FE$S TO BE CHARGED: Misc. Fees Ca�culated 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 /> tlumber of SAC Units OTHER (specify) <br /> ---------------------------------g---------_-----�--�,------------- <br /> ZONING CHECR LIST �Zonin District f�.ln � �-� <br /> Fire Department:�� �iui'Post Office:�;;r7 Ch-u� School District: (�s":.:.�:� <br /> Lot Area: /`���% �.�-t-n;�k�nTidth: Depth: <br /> Survey Submitted: Yes k No Date of Survey: i c�- � `s"-�, � <br /> Proposed Setbacks: _ , <br /> Front (���) : ( C��7 '� Right Side: 1� ���' �=- <br /> � <br /> Rear (S�eet) : `1 � 5 Lef t Side: !v � � ��� <br /> Ad j acent Structures : ,¢ �►�,�=c_�_� Wetland: /���'�- <br /> Buil.ding Height: Def. Hgt. �- l`, Peak Hgt. c' �rC. <br /> Avg. Setback: /� � � Lot Coverage: L �L <br /> Existing Proposed <br /> � <br /> Hardcover: 0-75 ' � ' / <br /> / <br /> ; <br /> 75-250 ' ' <br /> F� <br /> !' <br /> 250-500 ' '� ! <br /> 500-1000 ' � <br /> Hardcover Variance R�quired Yes No Da�e of Co ncil Approval : <br /> Grading: Staff Appro,jval Date: By: Coun i� Approva� Date: <br /> i <br /> Septic: Staff Appro�aJ. Date: B�• <br /> Zoning File: # ' Reso utio # : Re olution Date: <br /> REMARRS (in house) : <br /> � <br /> „ <br /> �, - <br />