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' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> . <br /> ' � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2`�GS� �y�'� ���. PID: <br /> DESCRIPTION OF WORR: � -,�� <br /> -------------------j� --��----------------- <br /> ------------��--5-------------- <br /> ZONING REVIEW BY: Cf� LQ DATE APPROVED: �U - �1 <br /> BIIILDING REVIEW BY: dc�o�� DATE APPROVED: IC� -�4 'r1`> <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 PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department• Pos Off ' c : chool. District: <br /> � <br /> Lot Area: Widt • e <br /> Survey Submitted: Yes eL. No Date of Survey: o� '�=«� � '1e'`�0 <br /> Proposed Setbacks: <br /> Front (I�ic�) : �I��-�" Right Side: ��c� ` * <br /> Rear (St-��et) : ,5 Z � Left Side: N �r/� <br /> Adjacent Structures: �2� t Wetland: N�/fi <br /> Building Hei t: Def . Hgt. Pea Hgt. <br /> Avg. Setback Lot Cover ge <br /> Existing Propose <br /> Hardcover: 0 75 ' <br /> 75- 50 ' <br /> 250- 00 ' <br /> 500-1000 ' <br /> Hardcover Var' ance Req ired: Yes No Date of Coun il Approval: <br /> Grading: Staf Approval ate: Council A proval. Date: <br /> Septic: Staff Approval Da e: BY= <br /> Zoning File: # R lut on # : Resolution Date: <br /> �2RMARK$ (in house) : _ <br />