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. • � CHECR OFF LIST FOR ISSUANCE OF PERMITS <br />. FOR OFFICE USE ONLY <br /> ADDRES S OR LEGAL: 31 S (`�C)L�-1�4�/`�d`P/� R-��P PID: <br /> DSSCRIPTION OF WORK: �/�.5� ��N'S M <br /> ----------------------------------------------------------------------------- <br /> ZONING REVIEW BY: N//d- DATE APPROVF�D: <br /> BIIILDING REVIEW BY: ( �__ DATS APPROVED: / -2�'''g.3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� 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 v�''� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: � � Width: Depth: <br /> , <br /> Survey Submitted: es No Date of Sur�ey: <br /> ; <br /> Proposed Setback : %� <br /> Front (Lak Right Sid�: �' <br /> Rear (Str et) : Left Sid�: <br /> , <br /> i � <br /> Adjacent Struct res: L Wetland: � <br /> i <br /> Building Hei �ht: De . Hgt. Peak Hgt. ; <br /> Avg. Setba Lot Coverage: _ <br /> ` � xisting Proposed <br /> ! � � � <br /> Hardcove�'�: 0-75 ' ,� � <br /> � � � <br /> 75-250 ' <br /> ; <br /> � 250-500 ' � �� <br /> � <br /> ;` 500-1000 ' <br /> , � � <br /> Hard,�over Variance iRequ'red: Yes No Date of Council �pproval: <br /> Gra /in Staff A ova Date;: By: Council Ap�roval Date: <br /> � ' g: PP <br /> ; <br /> Se�tic: Staff Appr I. Date: BY= <br /> Zoning File:# l�eso].ution #: Reso7.ut�;'on Date: <br /> ; <br /> REMARKS (in house) : , <br />