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v <br /> � CHBCR OF'F I.IST`FOR ISSQAPCS OF P$Rl�iITS <br /> � � � � FOR OFFICE USE ONLY <br /> ADDRBSS OR LSGAL DRSCRIPTION: 3 c��o Sr L�9J21� �E�UL <br /> -- ;, - <br /> pin: _ I?-/i�=z3 3`f' 60�,<'l .. - <br /> /� � . <br /> DBSCRIPTIOP OF �iOR1C: / V�`� �W/N i♦oI��' �Z�": ��� <br /> � _ _ <br /> ZOPING RSVIEW BY:- / -----------------DATS APPROiV$D: � - 2�-59-----------. <br /> BOILDIPG R$VIBfii BY: DATS.�1PPROVEDs � ''�-7 ` D � <br /> PBdtMIT ISSD� BY: DATE: � <br /> FEBS TO B$ CHARGBD:---------------Misc. Fees Calculated By: � ------------------ <br /> PERMIT Yes ✓ No SEWER UNIT $ � <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION � <br /> STATE SORCHARGE Yes �/ No WATER CONNECTION '�"' <br /> pENALTY Yes No ✓ PARR FEE � <br /> SAC Yes � No SITE INSPECTION <br /> _ OTHER (specify) -"' <br /> ----------------------------------------g---------_--------C_----------------- <br /> ZONING C�CR LIST Zonin District. L1t2-/ � <br /> Fire Department: OVGN� Post Office: �N y School District: �O�tl�� <br /> /� f <br /> Lot Area: �� 3g �•- Width: Lp0 � � Depth: ��� � <br /> Survey Submitted: Yes� No Date of Survey: ��`� `'� <br /> Proposed Setbacks: <br /> � � / i ._ _ . <br /> Front '(�ra� : 3� Right Side: �� <br /> � <br /> Rear (^.��o+; • � Left Side: <br /> Adjacent Structures: Wetland: �- <br /> Existi roposed _ � <br /> _, -. � a- �, <br /> Hardcover:��� , + � � � <br /> � �� <br /> 75-250' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: �� <br /> Grading: Staff Approval Date: �Z � By�-Council Approval Date:= <br /> Septics Staff Approval Date: -'--� BY= � <br /> Zoning File:# ---� Resolution �: Resolution Date: "—� <br /> RSMARRS (in house� : - <br />