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CHECR OFF LIST FOR ISSDANCS OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL DBSCRZ PTI ON: �.�� �.��. � �,j�.;,'1�" r��'y� � ,�-��� <br /> PID: � �-��'7- l .s �'Lf �O`y � <br /> DESCRIPTION OF WORR: /�,JE,`�f �G��/�1 f-t r�, �-`. �. �.j �a Y- � <br /> ZONING REVIEW BY:-� -----------------DATE APPROVED:---��--��-_-�°"'-�� �----------- <br /> ➢ <br /> BIIILDING REVIEW BY: DATE APPROVED: � r�-] ' �� <br /> PERMIT ISSUED BY: DATE: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: '� �`�'`� <br /> c, :1 <br /> PERMIT Yes � No SEWER UNIT $ "'� <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION ""' <br /> STATE SURCHARGE Yes �/ J No WATER CONNECTION '-'" <br /> PENALTY Yes No � PARK FEE —"" <br /> SAC Yes ✓ No SITE INSPECTION <br /> OTHER (specify) --� <br /> -------------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: �/�- � C' - � <br /> Fire Department: ��f�Jy,; Post Office: Lv�v"���.- School District: f"'t./"c. � i- i:=- <br /> , , , <br /> Lot Area: �R .3t"� �:- Width: (pC� "� Depth:__��..�C��� w <br /> Survey Submitted: Yes� No Date of Survey: � - (� • ��' <br /> Proposed Setbacks: <br /> ,�-_, 1 .� r 1 <br /> Front {�aicea : �` �� Right Side: �.a <br /> Rear (eStree�,� :�� � Left Side: �"'��'"�r C'.�'l� l�� <br /> �-- � <br /> Adjacent Structures: ��=�1``' ' �" �'� :� � Wetland: �"'""` <br /> Existing roposed <br /> ., ' � . � <br /> Hardcover: �-' , o j c. - <br /> 5�^� P�'C"` <br /> 7 5-2 5 0 � ,�..,,,�-s..� , .�.,,.:,_.,._ , <br /> Hardcover Variance Required: Yes No� Date of Council Approval: �' <br /> Grading: Staff Approval Date: 'Z� �'b' By•� Council Approval Date: '� <br /> Septic: Staff Approval Date: By: T--- <br /> Zoning Fi le: # �--""� Resolution #: -�--- Resolution Date: ""�"' " <br /> REMARRS (in house) : <br />