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, ' ;� CHEC� OFF LIST FOR ISSUA�ICE OF PER�SITS <br /> ' FOR OFFICE USE ONLY <br /> ADT�ESS OR LEGAL: Z6�y C-.y� IAR� �}� -C PID: <br /> DESCRIPTION OF WORR: Zivc� ST�� ,A-fl���-o� 1`h�e� Z 5 i��i¢�?/1 �,.Q <br /> ------------------- <br /> Z ONING REVIEW BY: � -- DATE APPROVED: ��- ( �t -�7 "L <br /> BIIILDING REVIEW BY: �Xtic�.--- DATE APPROVED: I 1- I �l ' �-f Z <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��j PARK FEE <br /> SAC Yes No��� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHECR LIST Zoning District: LR-(!3 <br /> Fire Department: �vnrc9 Post Office: Lnc��.�r�2 School District: i(J �L <br /> Lot Area: Z�r,s�oa� -� Width: �'y O J �' Depth: / 5�� '-� <br /> Survey Submitted: Yes� No Date of Survey: D G� `� � <br /> Proposed Setbacks : <br /> Front (��e-� : ,j S �f' Right Side: � �� 3 <br /> Rear {��.�) : 35 �3 Lef t Side: �-� � L � <br /> Adjacent Structures : iQ-�Lf�c� Wetland : /✓�A <br /> Buil.ding Height: Def . Hgt. 3v � Peak Hgt. 32 r <br /> Avg. Setback: /V�� Lot Coverage: <br /> Existing Proposed <br /> Ha�dcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 5oo—i000 � 23`�� <br /> Harc�over Variance Required : Yes No�_ Date of Council Approval: _ <br /> � <br /> Grading: Staff Approval. Date y: Co i Approval Date: <br /> Septic: Staff ApprovaJ. Dat : <br /> Zoning Fi�e: # Re olu on # : Re olution Date : <br /> REMARKS (in house) : <br /> / � <br /> i' <br />