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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: � Z 3 `�D G L�'���c-- Co Vc`= L��= <br /> PID: �3 �—� ���Z3 �s c'�C'��z- <br /> DESCRIPTION OF WORK: '� 1.J S (= ✓�� <br /> ------------------------------------ ----- ---- --------------------------------------------------------- <br /> ZONING REVIEW BY.• � DATEAPPROTjED: � �� �7 <br /> BUILDING REVIEW BY.• ti;Qs DATEAPPROVED: 2 - � a -0-7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEYV Yes� No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes �/ No � SITEINSPECTION <br /> Nzrmber o f SAC Units 1, � OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST 7_oning District: �1��D <br /> Fire Depar•tment: L�L- Post Office: LC.— School Disd•ict: �l'�GV� <br /> GotArea: Sg.ft. ��� Acr•es � 33 GVidth J � Depth ��� � � <br /> Survey Sub»zitted: Yes V No Date of Sz�rvey: f `� O <br /> Proposed Setbacks: i / � <br /> Front(� 3� �.S Right Side: ( �i � <br /> Rear(�treetJ' 21 Left Side: ��, �l � <br /> Adjacent Str•irclz�res: f�' � Wetland: �� <br /> t <br /> Barrlding Herght: Def Hgt. Z� �� Peak Hgt. <br /> Lot Cover•age: �� ' �� ��/�1f��C `�r �� �� " ��� <br /> Gradrng: Sta�f Approva!Date: � � a By.�1� Co ncil.9pprova!Date: <br /> �-y�.-��3 ,�F�nv��� �;�. l�r-� <br /> Se�tic: StcffApproval Date: �-j� By: �j�� � <br /> Zonirrg File: # '�-� Resolartiotr: # "" Resolzrtioj�Date: '-- <br /> S{�orela��d DisU�ict� �{� MCFt�D Perrrrit: <br /> Acg. Setback: 13li ff Setback: .--- Lot Coverage: <br /> Existi�ag Pr•oposed <br /> Flar�dcoi�er: D-7�' <br /> '.i-Z.i 0' <br /> ?so-sno� <br /> soo-�000� <br /> Hnrdcover �"ai•iance R�y�iri��ed: }es ��'o �� Date of Coarr�cil�lpproval: ` <br /> REMARKS(in{rocrse): ��c�� f�-� /n��/C��-� G�AG,e��u'� � n1�S T R�v�S c P,�S <br /> --f� s�-�c.: ��r �� ,� �cc�o��-.- ��y�2 ��-n��� Z--�Z-�`7 -r�: <br /> C�i✓✓`L� ��'��/N`-'� r2-c�v�Si: �%�1r.>� . <br /> 33 <br />