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�r.� /,��c� !c�-���. �° _ <br /> r ; �. _ _ <br /> CHECR OFF LIST FOR ISSIIANCE OF P$RMITS <br /> FOR OFFICE USE ONLY <br /> ADDR$SS OR LEGAL: I�"S /T�--�.C" 'I� �-Y✓;��- I�+ ��PID: `� �� I I�'� �Z-� % � C�C,'C�� <br /> DESCRIPTION OF WORR: �I `f� S� � ���f'�""��';� <br /> -----------------���---------------------------------------------------� <br /> ZONING REVIEW BY: — DATE APPROVED: i�Ci - Z ?- `J C--' <br /> '�.,� <br /> BDILDING REVIEW BY: DATE APPROVED: <br /> ------------------------------------------------------------- -�- ----------- <br /> FEES TO BE CHARGSD: Misc. Fees Calculated By:�-' ��f� <br /> PERMIT Yes � No �'� <br /> PLAN REVIEW Yes 'x No SEWER CONNECTION <br /> STATE SURCHARGE Yes X No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) / <br /> ---------------------------------------------------------�—-----5�------� <br /> ZONING CHECX LIST Zoning District: � " 1 .� � <br /> '�", r+: -r�,r;�=c-t� <br /> Fire Department: � , � � Post Office: School District: <br /> Lot Area: n �J� �� .'j � Width: '��'�� F Depth: ��E 7 f <br /> Survey Submitted: Yes No� Date of Survey: lL'�,i'i ("--c-�`.1'u'�=�'�� �'�r�C`�P <br /> (l�} L-e7T i+��S-��TS .���i�c t.�.>i+'�'� <br /> Proposed Setbacks : t -. r`�z'`' <br /> Front {��.: �C�`�� � .'� Right Side:� � � N�t������ ���� <br /> � P ,,_ � Jus� c..ov�--r'C-��+� <br /> Rear (�e� : � Left Side: /�7� � � Of� -�-4=T s r'r�� <br /> � .�_ �3� S j��Z'. n y,h.ti� <br /> Adjacent Structures : --�^� '� Wetland: -�' S�-•>►�rrc� <br /> Building Height: Def. Hgt. fZ � �� Peak Hgt. <br /> Avg. Setback• -�--- Lot Coverage: � . � �� <br /> Existing Proposed ` �XL�, ._ �,� 3� <br /> Hardcover: 0-75 ' ' 7 �/2 ' �J�� <br /> 75-250 ' ��� ��� ' 310 <br /> ��• x�z = "3 ��z � <br /> 250-500 � � jZ �(Z =� a % <br /> � ` ���2`ri = 'S � / <br /> 500-1000 y� " � <br /> � <br /> Hardcover Variance Required: Yes No� Date of Council Approval: ; <br /> Grading: Staff Approval Date: .r-'���� By: Council Approval Date: � <br /> Septic: Staff Approval Date:���-L%r��:;: By: � <br /> Zoning File: # s Resolution #: — Resolution Date: � <br /> � <br /> RBMARRS (in house) : <br />