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,;� _ :� CHECR OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ?�DDRESS OR LEGAL: //� t� PID:_ 1`% ` // 7 ` .��� 1�.� o c�o Y <br /> DESCRIPTION OF WORR: ,�G�'-�*�O� — <br /> ------------------------ {---------------------------------P-------------------- <br /> ZONING REVIEW BY� �`"�� ��'� � ': DATE APPROVED: '? - 2 ) - 7 3 <br /> .t:- <br /> BIIILDING REVIEW BY: DATE APPROVED: 1 ' 2 7-c7 3 <br /> -------------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calcu�ated By: <br /> PERMIT Yes L No <br /> PLAN REVIEW Yes ���� No SEWER CONNECTION <br /> STATE SURCHARGE Yes v 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: �/� �/r� <br /> � � <br /> Fire Department: l Post O��ic.��s l� ^ �chooX District: <br /> � . —f-i----— <br /> � `� De th: <br /> Lot Area: , Wi���= P <br /> r= _ <br /> Survey Submitted: Yes� No Date of Survey: �;�T `i - 7 � <br /> Proposed Setbacks: '' <br /> Front (�a-ke-) : �(/�/-� Right Side: S s-� �S.! <br /> , Rear (S�et) : /:' � � �= Lef t Side: '� Z S � � �U� <br /> Adjacent Structures: 0��;�CC��;/J Wetland: /ti� � <br /> Bui�ding Height: Def. Hgt. �� - /C Peak Hgt. <br /> Avg. Setback: � Lot Coverage: <br /> ! xisting Proposed <br /> i <br /> Hardcover: 0-75 ' � , <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' � `� — <br /> ; � <br /> Hardcover Varianc� Require�3: Yes No�_ Date of Counci� �Approval: <br /> ; <br /> Grading: Staff Approval Datie: ,By: Counci� App�roval. Date: <br /> j <br /> Septic: Staff Approval Dates Bys <br /> Zoning Fi�e: # Reso�ution #: : Resolution�. Date: <br /> , � <br /> � <br /> REMARRS (in house� : % <br />