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� • CHECK OFF LIST FOR ISSDANCE OF PERMITS _ _ <br /> " ;. _. FOR OFFICE .USE ONLY , <br /> ..�- -` � ' .. . . . . , . ^'C ..9.`''Y tir�� 'a ../..i `�. ..-_ _ ... <br /> �. - s.. .. .. . - �1i-�"~ PID• , ,�.._....,�.. _ ...... ,w.�..... - <br /> �ADDRESS OR LEGAL: � ' � - <br /> _,., :. _. ,._ �.: , . ,.., . _ . <br /> -- . .. ., - - - _ ^ -- - ��- <br /> _�: . . . . . , _. .._ . : - �. :: : <br /> - . <br /> D$SCRIPTION OF WORK: 1 N��L�c�2 ��-r��-- � . <br /> ----=------ -= -- - --- -- --- -- -- --- -- -- - - - - --- <br /> . . . . - <br /> -----. :� �.. .. w�..._ :DATE 'APPROVED: �- � � <br /> -_.__.. <br /> 4: <br /> ZOIIING REVIEW .:BY: '- <br /> -- . ._. <br /> . _ . . :. _ _ . . .., ,_;.� ,�,-:...., �.,..,:. _ - ., . . <br /> : . . _. _ . - - <br /> ._ . , . _ _ � - - <br /> - . _ _:. ,- <br /> . - :',�,;, <br /> BIIILDING REVIEW BY: � ._ _ �- v-DATS �APPROVED: �j�`f b: .,��.s� . ' . . _ . <br /> --------------------- ------------- <br /> FSSS TO BE CHARGED: � � Misc. Fees Calculated Bye : <br /> PERMIT Yes <br /> �pp . . - <br /> PLAN REVIEW . _. ___...Yes No SEWER CONNECTION - � <br /> STATE SURCHARGE � 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 /> � ----------------------------g---------. <br /> ------------ .....,, <br /> ZONING CHECR I+IST Zonin D strict. <br /> Fire Department: Post Office: Scho,ol Dist ict: <br /> Lot Area: Width: Depth� <br /> � - <br /> Survey Submitt d• Yes No Date of Syirvey: ` <br /> ; <br /> ,' <br /> Proposed Setba k : � <br /> Front (L e) Right Sic�e: <br /> Rear (St eet) : Left Si : �f <br /> , <br /> Adjacent Struc ures: Wet and: <br /> Bui].ding Heig t: De . Hgt. eak Hgt. <br /> , <br /> Avg. Setback• ` L t Co rage: <br /> istin Prop se�---•- --_____. <br /> Hardcover: 0 75' ' . <br /> 75 250' � ' <br /> r <br /> 250 500 ' . % <br /> 500- 000' ,� <br /> Hardcover riance Requ�.re : Yes N � Date of Council Approval: <br /> Grading: S aff Approval te: By: Council Ap roval Date: <br /> Septic: St ff Approval D e: BY� <br /> Zoning Fil :# - Resolution . � Resolut on Date: <br /> REMARtCS (in house) : � . <br /> _;. . . .. _ <br /> ;�:: . : _ ._� . , _ _ . . <br />