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� • <br /> - " CHECX OFF LIST FOR ISSIIANCE OF PLRMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `�'����;�c.;v �uw PID: <br /> DESCRIPTION OF WORR: �� p;r�, � t�i,y f-� <br /> ------------------------ -- <br /> ZONING REVIEW BY: DATE APPROVED: 12• �f- �i Z <br /> BIIILDING REVIEW BY: DATE APPROVED: /2-S' - S �— <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v 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 /> Number of SAC Units OTHER ( specify) <br /> ------------------------------------------------------------------ <br /> ZONING CHECR LIST Zoning District: �/�-�Q <br /> Fire Department: Post Office: �,�,�4+�'L+��� Schoo� District: �,1LtrrJ� <br /> Lot Area: I°�,356.S��yS /�CIlx3 Width: l.SD � Depth: I Z y.Z.3' <br /> —,-- <br /> Survey Submitted : Yes�j _ No Date of Survey: 5��6 - �� <br /> Proposed Setbacks : <br /> Front ('�xke-) : �o y ' -� Right Side : N 7. YS � <br /> Rear (�'��t) : S. ( � Left Side: ,) �Zo '�- <br /> Adjacent Structures: SS� Wetland: /✓�I`� <br /> Building Height: Def . Hgt. Pea Hgt. <br /> Avg. Setback: Lot over ge: <br /> Exist ng P opos d <br /> Hardcover: 0-75 ' , <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance equired: Yes o D te of Counci Approval : <br /> Grading: Staff App oval Date: By: Council A proval. Date: <br /> Septic: Staff App oval Date: Y� <br /> Zoning File: # Re o uti n # : Resolut� on Date: <br /> RF.MARKS (in ho se) : , <br />