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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> , + FOR OFFICE USE ONLY <br /> A <br /> ADDRESS OR I,EGAL: ►�O S L-r°�1�Y/EfiV A t!� PID: � <br /> DSSCRIPTION OF WORR: NEW I�L-�' <br /> ---------------------------------- <br /> ZONING REVIEW BY: ,�P.Q. , DATE APPROVED: S- I�S"� 3 <br /> BIIILDING REVIBW BY: � DAT'S APPROVED: ,r� /�" '�l.� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes (/� No <br /> PLAN REVIEW Yes �/ �NoT 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 Units ���t OTHER (specify) <br /> -------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning Dis�trict: QQ•/� <br /> Fire Department: Post Office: i9- ¢ Schoo7� District: ORo�vO <br /> Lot Area:��;�5� Width; ��/1.,o,a�E. Depth: lJA�2��Lt� <br /> Survey Submitted: Yes� No Date of Survey: �-/-b` �� <br /> Proposed Setbacks: � � <br /> Front (-�a#e) : �S'�,F Right Side: Zg. Z <br /> Rear (S�rae-t) : ��� Left Side: GS�f �- <br /> Adjacent Structures: �{� t Wetland: NjA <br /> � i <br /> Bui lding Height: Def. Hgt. 23� � Peak Hgt. 6•� <br /> Avg. Setback: � Lot verage• <br /> � . - x s�ing � -.p. Posed <br /> Hardcover: 0-75 ' � � , , <br /> <� ; <br /> 75-250 ' -- <br /> 250-50 ' <br /> 500-1 0 ' <br /> Hardcover Variance Required: Yes No ?� Date of Council Approval: <br /> Grading: Staff Approval Date: N/� BY: Council Approval Date: <br /> Septic: Staff Approva7. Date: N�/I� • BY= <br /> Zoning Fi]�e:# /7$�1 Resolution #: 32Z5 Resol.ution Date: Z•!'f`S3 <br /> REMARRS (in house) : , <br />