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� � , .� - ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ` "� FOR OFFICE USE ONLY <br /> AI3DRESS OR LEGAL DESCRIPTION: c/� L <br /> PID: <br /> DESCRIPTION OF WORR: S�� ;��E_-'�-�/�i'� ��'��' <br /> ------------------------ ----------------------------- ---- <br /> -- ----------------- <br /> ZONING REVIEW BY: DATE APPROVED: -1�' �� �� <br /> � <br /> BOI7�DING RLVIEW BY: .DATS APPROVED: <br /> PERMIT ISSIIED BY: DATE: <br /> ---------------------------------------=---------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No SEWER UNIT $ — <br /> PLAN REVIEW Yes �No SEWER CONNECTION <br /> '�� <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> PENALTY Yes No PARK FEE <br /> SAC Yes Not/ SITE INSPECTION <br /> OTHER (specify) <br /> ------------------------------------------------------`----�------------------ <br /> �ONING CHECK LIST Zvning District: � �--� <br /> rire Department: /'��C'L;'lU� Post Office: /�;:f�"�( �=- School District:�M-2�r.c/�-�� <br /> � 1 � <br /> Lot Area: � � � / a�= Width: ��a � Depth: �.3 7 �" <br /> Survey Submitted: Yes ✓ No � Date vf Survey:�'��� �7 <br /> Proz�osed Setbacks: <br /> � � <br /> Front (-�a�-� : � � '+ Right Side: c� � <br /> < < + <br /> Rear (���-� : �� f Left Side: - <br /> Adjacent Structures: Wetland: `�— <br /> Existin Proposed <br /> Hardcover: D--�S' � �s `� <br /> � �'` <br /> S�`��� l��' f t�. �. -f �' ��,f� � L�-- <br /> ��' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staf f Approval Date: � '►ti t��� By: �"" Council Approval Date: `�`" <br /> Septic: Staff Approval Date: By: � � <br /> Zoning File: # -- Resolution # : -----y— Resolution Date: ��� J- <br /> �_MARKS (in house) : M�, N kE ��,5 Sa , � v� �"h.� �A��"t ��h�� <br /> I/6AR� . � <br /> �--�F w ct N T �o C:erK s�r 2 v cT L� St�r� �•� �s ��c.��ien - <br /> �[..�!� ( s /�Jo T �57�v-Gy�� `�-� � ��.s � <br />