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, CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> � . FOR OFFICE USE ONLY <br /> ADDRESS OR I�EGAL: SS �-r4�'V 1� t't�1i4(t K �R- PID: � <br /> DSSCRIPTION OF WORR: 3 5 Elq S ON PcuLC.E+ <br /> -------------------- ----- ----------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: !!- �s'' �f.� <br /> BIIILDING REVIEW BY: DATE APPROVED: !(-/S"S,� <br /> FEES TO BE CHARGED: Misc. Fees Ca�culated By: <br /> PERMIT Yes ./� No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes—� No 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 CHECR LIST Zoning District: L�� �� <br /> Fire Department: l,ow�, (�k-t: Post Office: � School District: �2c�►'O <br /> Lot Area: � G ff�fU �diC�th: Depth: <br /> Survey Submitted: Yes 0�_ No Date of Survey: <br /> Proposed Setbacks: <br /> Front (bake.) : L7o Right Side: � Z�`� <br /> Rear (S��t) : N (�( Lef t Side: �-Uo` -� � <br /> Adjacent Structures: /4Tt�4�l�t�."� Wetland: dd 2.SU� 'f' <br /> Bui�ding Height: Def. Hgt. 6• � Peak Hgt. <br /> Avg. Setback: Lot Co erage: <br /> xisting Prop sed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varian e Require : Yes No Date f Coun il Approval: <br /> Grading: Staff A proval Dat : B : Council Approval Date: <br /> Septic: Staff Ap roval Date: BY= <br /> Zoning File:# Reso uti n # : Resolu ' on Date: <br /> REMARRS (in hou ) : . <br />