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CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFrICE USE ONLY <br /> ADDRESS OR LEGAL: Z�S 1-�OI�MWDC� 1�� PID= <br /> DESCRIPTION OF WORR: �A�(JO�Ti D� '� P-�tMA��Z- <br />------------------------------------------------------ <br /> ZONING REVIEW BY• DATE APPROVED: I D'-31 "`�''►2- <br />�IIILDING REVIEW BY: �..-- DAT$ APPROVBD: �d �3�`yZ� <br />-------------------- <br /> g�gs 2•p gg �g�. Misc. Fees Calculated By: <br /> PERMIT Yes v No . <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHA.RGE Yes !/� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No +� PARR FEE <br /> SAC � Yes No �. SITE INSPECTION <br /> Number of SAC IInits OTHER (specify) <br />---------------------------------------- <br /> --------------------------- <br /> ZONING CHECR LIST Zoning District: /QIQ�IQ <br /> Fire Department: /I/lC Post Office: i✓�G School District: /��G <br /> Lot Area: /V l� Width: Depth: <br />�urvey Submitted: Yes� No Date of Survey: O� /��L Z= <br /> Proposed Setbacks: N <br /> Front (L-zri��e) : 1V Right Side: � � _ <br /> Rear (`_'��=�) : b S' Left Sid�:��d�U ) (os �-►' <br /> T <br /> Adjacent Structures : /� 7'T�4U� Wetland: 11��/�- <br /> Building Height: Def. Hgt. �� 1< Peak Hgt. <br /> Avg. Setback: Lot Cove ag : <br /> Existing Propo ed <br /> Hardcover: 0-75 ` <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Requi ed: Ye No ate of ouncil A provaz: <br /> Grading: Staff Approval Date: By: Co cil. Appr val Date: <br /> Septic: Staff Approval. Date: y= <br /> Zoning File:# Resoluti n ResoJ.ution ate: <br /> RF�IARK$ (in house) : „ <br />