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. � � . CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S`10 QARRE.-CT f�V� pID= <br /> D$SCRIPTION OF WORR: /a�'(J ►T� e� <br /> ------------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: 6'S' SZ- <br /> BIIILDING REVIEW BY: C.V� DATE APPROVED: � -5 -� Z <br /> --------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <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 Units OTHER (specify) <br /> ----------------------g---------_------------- <br /> ZONING CHECR LIST Zonin District 21` ),lj <br /> Fire Departrnent: (.L Post Office: t�a9-yz��- School District: /��c. <br /> Lot Area: 3��o a s �r .gt���S Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front (�a3ce) : ZS Right Side: /V <br /> Rear (S�tr�et) : �SZ� � Left Side: � � <br /> Adjacent Structures: � �C;(�e� Wetland: /U/14 <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: L t Cove ge: <br /> Exi t ng Propo <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Var' nce Require : Yes N Da e of Council Approval: <br /> Grading: Sta f Approval Da By: Council Approval Date: <br /> Septic: St f Approval Da BY= <br /> Zoning Fil�e:# 1�2f1 Reso�ution #: ? Resolution Date: y���- yZ <br /> REMARRS (in house) : � <br />