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• � � � CHECR OFF I.�IST FOR ISSIIADICE OF PE�iITS <br /> • ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL:C� � �r1 `7� PID: / 7"�/ � "a � 3 �` ooa9 <br /> � � . <br /> DES�tIPTION OF WORR: v11 l�l� , e '� <br /> -------�- <br /> ----------------- <br /> ----------------------- Q l�rv�� DATE APPROVED: '�-(�!-�f �-- <br /> Z�NING REVIEW BY: <br /> BIIILDING REVIEW BY: l�1JW`t�-- DATS APPROVED: �-� Y- �Z <br /> ------------------ <br /> -- ------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ Na � <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHAI2GE Yes� N° WATER CONNECTION <br /> INVESTIGATION FEE Yes No� PARR FEE <br /> SAC � Yes No_� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECR LIST -----------------Zoning District � /e-lC I <br /> Fire Department:1���r.ieQ_ <br /> Post Office• School District: /l/ e <br /> � <br /> Lot Area: /7 S� Width: ,$Zj� Depth: /7� '�' �"� <br /> Survey Submitted: Yes�_ No�_ <br /> Date of Survey: �`-t0 `� g <br /> Proposed Setbacks : <br /> Front l��) � �00� # Right Side: ZO� <br /> Rear (�--��t) : l6 fS <br /> � f Left Side: N�/� <br /> Adjacent Structures : �7'TI�GFI��� �^7etland: /i��/� <br /> Building fieight: Def . Hgt. C�•% <br /> Peak Hgt. <br /> Avg. Setback: ot Covera <br /> x sting Propased <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 <br /> 500-100 ' <br /> Hardcover Var ance Req ired Y s <br /> No Date of Council ApprovaJ.: <br /> Grading: Sta f Approva Da e: By= <br /> Co cil Approval Date: <br /> s� g�,: <br /> Septic: St f Approva Da e: <br /> Zoning Fi e:# <br /> Res ution esolution Date: <br /> REMARKS in house) : �� <br />