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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ' • � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��on ����,� C�.t.��2 PID: �G -// 7 V�3 3�Z U U/S <br /> DESCRIPTION OF WORR: `t L���L��-� <br /> -------------------- -------------------------------------------- <br /> ZONING REVIEW BY: c.,�o ��Vw� DATE APPROVED: g'l`{-�I S� <br /> BIIILDING REVIEW BY: cy DAT$ APPROVED: �-IS '�S <br /> ---------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT YesJG No <br /> PLAN REVIEW Yes v� 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 (specify) <br /> --------------------------- <br /> -----------------------_------Q------- <br /> ZONING CHECR LIST Zoning District IQ� � <br /> Fire Department• c,vq�.�'Z Post Office: School District: o�o�rt� <br /> Lot Area: Nb GN�rg/vGt: Width: — Depth: — <br /> Survey Submitted: Yes� No Date of Survey: to -z3-$7 0� t=��-� <br /> Proposed Setbacks : <br /> Front (I,a�e) : ��14 a Right Side: o` u <br /> Rear (Str�'�t) : �(O` f Lef t Side: S 5 +' C�/ <br /> Adjacent Structures: �4�T�e� Wetland: �U��4 <br /> Building Height: Def . Hgt. o.(� Peak Hgt. -- <br /> Avg. Setback: /V//�' Lot Coverage: � • �- <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' � � •�� � ���� �- <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> r <br /> Grading: Staff Approval Da e: Bx: Council Approval Date: <br /> � <br /> Septic: Staff Approval Da �, y: <br /> i /, <br /> Zoning File:# R �oluti�n #:i%�'� Resolution Date: <br /> i <br /> REMARRS (in house) : ��� � - <br />