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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ' ' • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _���� '�� ���- v;�`�,l_{�., l,C.�r,�, _�� PID: � <br /> D�SGRIPTION OF WORK: <br /> -------------------- --- ---------------- <br /> ZONING REVIEW BY: �L►��,1 DATE APPROVF�D: � -/ 7-y 5` <br /> BIIII.DING REVIEW BY: ��� DATS APPROVED: g •l 7 -`� 5 <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: L12�I �- <br /> Fire Department: �n/�uv,.�✓, Post Office: �A��4���rv� School District: c�,�s-�t�nrk� <br /> Lot Area:��� Width: � Depth: <br /> Survey Submitted: Yes +c No Date of Survey: o� ��� <br /> Proposed Setbacks: <br /> Front (�e) : ���' Right Side: �S ` <br /> Rear (Str�et) • ���` �' Left Side: fS � � <br /> Adjacent Structures : ,4l`7�4-�lXz��� Wetland: /v��- <br /> Building Height: Def . Hgt.� Peak gt. <br /> Avg. Setback: L�t Cover ge: <br /> � <br /> Exi t ng �;' Propos <br /> Hardcover: 0-75 ' / <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' � <br /> Hardcover Varia ce Requ red: Yes N ate of Council Approval: <br /> / � <br /> Grading: Staf Approval. Dat : By: � Council Ap roval Date: <br /> Septic: Staf , Approval Da e: By: <br /> Zoning Fil :# Resolution $ : Resoluti n Date: <br /> i <br /> REMARRS ( n house) : ' <br />