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� CHECR OFF' LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�XJ KC/�1W oo f� �U�y PID: <br /> DESCRIPTION OF WORR• (�eC-��- <br /> --------------------- --- ------------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: //- Z�s��1Y <br /> � � <br /> BIIILDING REVIEW BY: i� � DATE APPROVED: �l-L�-q`� <br /> FEES TO BE CHARGED: Misc. Fees Ca�cu�ated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes !/� No SEWER CONNECTION <br /> STATE SURCHARGE Yes v'�fNo 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 CHECK LIST Zoning District: L.%�� (�-- <br /> Fire Department: 1 Post ic�:- ' �S oo� District: <br /> i� ,,; <br /> Lot Area: Width: � �� t <br /> Survey Submitted: Yes cG No Date of Survey: v� �=��-� <br /> Proposed Setbacks: � <br /> Front (L��) : ��/1 Right Side: / � � - <br /> Rear (��? : (/S � � Left Side: ,3Y� � <br /> Adjacent Structures: "3S � wetland: N��- <br /> Building Height: Def Hgt. Peak H t <br /> / � <br /> Avg. Setback: � L Coverag : <br /> E isting Proposed/ <br /> l <br /> Hardcover: 0-75 ' j <br /> , <br /> 75-250 ' ,-% '� <br /> � � �-- --- <br /> 250-50 ' i <br /> 500-10 0 ' � <br /> -+- % <br /> Hardcover V�riance equi d: Yes� N Date ofljCouncil Approval : <br /> ; � I <br /> Grading: S�aff Appr val. /Date: � , By: Co�tncil Approval Date: <br /> ; � <br /> Septi c: S�af f Appr va]. Date: �_ � By: � <br /> ; � � �I <br /> Zoning F�i.J�e:# Reso� �tion # : Resolution Date: <br /> � ,' � <br /> RF.MIARRS (lII house) �,� I <br />