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� `. CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> A�DRBSS OR LEGAL: I/2� �'� L��VD/9 /4 Vt _PID: <br /> DESCRIPTION OF WORR: ����- s �� ��GK <br /> ----=-------------------------------------- - <br /> ZONING REVIEW BY: DATE APPROVSD �'t ' Z 3 'S`/ <br /> BIIILDING REVIEW BY: DATE APPROVED: '� "Z 3``7 � <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 f 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 /> ---------------------- <br /> ZONING CHECR LIST Zoning District: G/�/Q <br /> Fire Department: /U � Post Office: /��� Schoo� District: ���- <br /> Lot Area: ���- Width: r�'���'� Depth: — <br /> Survey Submitted: Yes� No Date of Survey: 1(�-(0• 53 <br /> Proposed Setbacks: , Zi - <br /> Front (�e) : ( �� Right Side: <br /> Rear (S�.°e�et) : -I.O � Lef t Side: S� � <br /> Adjacent Structures: /��"77��LJ� Wetland: i✓�� <br /> Building Height: Def . Hgt. �1//� Peak Hgt. /�104- <br /> Avg. Setback: /��A" Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' 33'�'°�o <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval. Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY= <br /> Zoning File:# !&` Resolution #: 333 g Resol.ution Date: <br /> REMARKS (in house) : <br />