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� <br /> . ����e ��a 5 <br /> ;t; _ <br /> CHECR OFF LIST FOR ISSIIANCE OF PSRMITS <br /> , FOh? OFFICE USE ONLY <br /> ADDRBSS OR LEGAL: S� l-�C.(=.(�F.R�LVt � 11 PID= <br /> DESCRIPTION OF WORK: � EL�L <br /> s <br /> ����������������������������������������������������������������������������� <br /> ZONING REVIEW BY:� � _ DATE APPROVED: (o-ZY-�j <br /> BOILDING REVIEW BY: DATE APPROVED: �`Ly-�( <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/�o <br /> PLAN REVIEW Yes V/�o 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 /> ZONING CHECR I,IST Zonin ist i <br /> Fire Department: t fic : 1 i�: <br /> Lot Area: idt Dep h: <br /> Survey Submitted: Yes� No� Date of S�e'p�:— <br /> LoT L��Ve C.Oiv�jR,�IN-77Bn/ <br /> Proposed Setbacks : <br /> Front (�) :_�j Right Side: , <br /> Rear ( Street) : �js� Left Side: $� <br /> ! � �-��G- LEuC�c-- /Jcr GK <br /> Adjacent Structures : 2 Wetland: �//�- <br /> Building Height: Def. Hgt. �`� Peak Hgt. /ll,� <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' � <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Requir d: Y s No ate of Coun il Approval: <br /> Grading: Staff Approval Date: By: un '-1 Approval Date: <br /> Septic: Staff Approva Date: By: <br /> Zoning File: # Resolut on # : Resol tion Date: <br /> REMARKS (in house) : <br />