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CHECX OFF LIST FOR ISSIIANCE OF PERMITS <br /> " ` � � FOR OFFICE USE ONLY <br /> ; � - , ' ' � <br /> r1DDRESS OR LEGAL: �`�� �%�. �, .c, � .-`�--� PID: ��; �� ���' �� �C ? �� <_-��%-� <br /> , <br /> � <br /> , � � , � <br /> DESCRIPTION OF WORK: ,{�k�c'� �.����t�-_"�� �'t- <br /> ---CaC�o— ------------f--------------- �Z- --- <br /> ZONING REVIEW BY: � _ DATE APPROVED: �S ' �!3 <br /> BIIII�DING REVIEW BY: Q` DAT$ APPROVED: S^`�Z`5 3 <br /> ---------------------- ------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes 1/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ No_� P�KRFEENNECTION <br /> INVESTIGATION FEE Yes No <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------- <br /> ------------------------------------------ • <br /> ZONING CHECR LIST Zoning District C./L-IG� I <br /> Fire Department: /Yw�...c9 Post Office:J►,{)�jZATJ4 School District: r...�.��,� <br /> Lot Area: �1�. Width: /'��� Depth: /✓�G <br /> Survey Submitted: Yes�No Date of Survey: <br /> � On� F�LL'` <br /> Proposed Setbacks: <br /> Front (�lcQ-) : 3� � Right Side: � � 'f N <br /> Rear ( "�� ' N�� Left Side: /✓/A <br /> Adjacent Structures: A v'�IN Wetland: /✓l/� <br /> Buil.ding Height: Def . Hgt. P ak gt. <br /> Avg. Setback: Lot Co era <br /> Existin Pro osed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ` <br /> 500-1000 ' - <br /> Hardcover Variance equired: Yes No Da e of Council Ap roval: <br /> Grading: Staff App oval Date: � B : Council Appro al Date: <br /> Septic: Staff Ap ovaJ. Date: B � <br /> Zoning File: # Reso ut on # : Resolution ate: <br /> RF.MARRS (in ho se) : <br />