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CHECR OFF 3�IST FOR ISSQANCE OF PERMITS ��� <br /> FOR OFFICE USE ONLY � <br /> ADDIRESS OR LEGAL DESCRIPTION: �� �� � <br /> ��) � ��.�JG'�-C �C�c',-�_(-� <br /> PID: �� _ � I� ` � � "7 `7 DO � L'w`�s?"_ f'� ,�/ L-�U� � 'oru r . , <br /> - - t�'�� ,,,�, �� . < <br /> DESCRIPTION OF WORR: /'�p C`.�-A ` `_^��.L t t:' •I ,.�ti�::� [`�'-; . <br /> -----------------� ----------------------- .. L � . <br /> --- ----- --------------- -- --- <br /> j --- . <br /> ZONING REVIEW BY: • ��� ' . ' � <br /> ✓ �� '�;�� DATE APPROVED• g O <br /> � <br /> BUILDING REVIEW BY: .DATE APPROVED: (� - Zd •4 c7 S� x <br /> ✓�j�,N <br /> PERMIT ISSUED BY: DATE: ��� <br /> ---------------------------------------=---------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ��" :�"_�^". <br /> �..__ �-r-, <br /> PERMIT Yes � No SEWER UNIT $ �Z.,,,y `-� <br /> PLAN REVIEW Yes � No SEWER CONNECTION - <br /> STATE SURCHARGE Yes �, No WATER CONNECTION <br /> PENALTY Yes No <br /> � PARK FEE '���� � � <br /> ;,- <br /> ` SAC r� .� a�' YeS� NO SITE INSPECTION �'�- <br /> ��� <br /> OTHER (specify) "��`�'-" <br /> -------------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: �-- � - f .�; <br /> Fire Department: �`1���� Post Office:��✓�.�'�-"�'' � School District:�`�t�,`t�l.��{�'� .-� <br /> � f <br /> Lot Area: �?,n'Df1 '' , Width:��-� �`� Depth: �.-C�u�` <br /> Survey Submitted: Yes� No Date of Survey: � ' �q� � L.� �?`- O�{ <br /> Proposed Setbacks: <br /> C �*- r. nv�, . <br /> ! � S� S'`-�' <br /> Front �e,L•� Right Side: u �f� � p <br /> a,�- � <br /> Rear ��+: r �:� r�f Left Side: ��f� ��� � <br /> Adjacent Structures: /���r-��- Wetland: """�� <br /> Existing Proposed <br /> _�.�-��� . °Q t�:�� ° � � <br /> Hardcover: t7""T�"'' -- � — � � �"a <br /> !'�2'S0� <br /> Hardcover Variance Required: Yes No� Date of Council Approval: """"—"""" <br /> Grading: Staf f Approval Date: � � �� C�� By:` �� ���; Council Approval Date: <br /> Septic: Staff Approval Date: -�"""""""`""`���-�� By: -c, ����- =a � <br /> ..:. /rf:.. /�F'� } ��.` `_ �yr• <br /> Zoning File: # �' �� Resolution # : ���f Resolution Date: <br /> REMARRS (in house) 1� f � - = � r - .. , , l� .'. ''- �> >�.�; 1 <br /> � I Y .. •!'" R „ „ �. . �"�.. � ..�/' � �....G 7. ��.�i... i � � _, "p �,/,.J,��, ..y`v k'.. <br /> �� �F � �..�! <br />