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' r <br /> CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR Or r ICE USE Oiv'LY <br /> ADDRESS OR Z,EGAL: I �J I �o �j: "' �r�iG�l: �l.V-� PID: . <br /> DESCRIPTION OF WORR: �lAl�iA6� - <br /> ----------------_-------Z <br /> -------------------- --- ---------- � <br /> ZONING REVIE4�1 BY: DATE APPROV�D 7 �" S 3 _ <br /> _ ? � 2 3 -53 - - <br /> 3IIILDING REVIEW BY: �.�-� DAT$ APPROVSI3: <br /> -------------------- ---- <br /> FEES TO BB CHARG�D� Misc. Fees Calculated By: - . <br /> PERMIT Yes ✓ No - <br /> PLAN REVIEW Yes-�� No SEWER CONNECTION <br /> STATE SIIRCHARGE Yes-�� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �P� FEE <br /> SAC � Yes No SITE INSPECTION <br /> Number of SAC IInits OTHER (specify) <br /> ------------------ <br /> --------------------------------- � <br /> ZONING CHEGK LIST Zoning District: l 'll4 <br /> Fire Department: �N Post Office: School. District: d�� <br /> Lot Area: • '1 � .�L Cd1��Tidth: P�� � �" Depth: / .3,� <br /> � t <br /> Survey Submitted: Yes� No Date of Survey: � '2-4 �✓ <br /> Proposed Setbacks: , � � � <br /> Front (L�r�ce) : �10 � Right Side: <br /> ��---�+- � Left Side: 3y� �' � - <br /> Rear (3�-�) = � <br /> Adjacent Structures : <br /> 8' � Wetland: /✓�19' <br /> Building Height: Def. Hgt. O• tc_.. Peak Hgt C�•�� <br /> Avg. Setback� /V�l�}' Lot Coverage: � 9J��a <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> zso-5oo � y�r•S �� `IS•3� �� <br /> soo-l000 � <br /> Hardcover Variance Required: Yes� No Date of Council Approval: 7-�Z�S3 <br /> Grading: Staff Approval Date:_,��_ BY= Council ApprovaJ. Date: <br /> Septic: Staff Appronal Date: /✓�i�- BY= <br /> Zoning File:� ��37 Resol.ution �: �_3�i `� Resol.ution Date: <br /> '7 -�Z-S3 <br /> REMARKS (in house) : <br />