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� CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> C' ; �'" - � '(� . PID: �� i/X ;�-� -%-' < <'�3Z <br /> ADDRESS OR LEGAL: /G / �(��� �-�-��-��rr%z-z , ��"� <br /> _. <br /> `" <br /> DESCRIPTION OF WORK: ������*`/`'-�� ���` �`''�� � <br /> --------------BY:----------------------DATE APPROVED: II� =;-y � - <br /> ZONING RL�VIEW <br /> � � - � - � <br /> BIIILDING REVIEW BY: <br /> - DATE APPROVED: � � <br /> ----------------------� ----- <br /> ---------------- <br /> ---------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Ca�culated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes 1/� 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 /> ---------------------------------------------------- / . <br /> ZONING CHECR LIST Zoning District: %�/�-1 � <br /> Fire Department• �.,A�� Post Office: �.�A-r,�,4.-r�4_ School District:�R�.�,9��76� <br /> Lot Area: ��! ►cs� a�+ �i-i-�' Width: z33+ A� Depth: 31�=� Aw� <br /> � <br /> Survey Submitted: Yes C� No Date of Survey: !a � Z p ' S3 <br /> Proposed Setbacks: <br /> Front (�`) : 1�t0 � -�' Right Side: !3�� � <br /> Rear (S�-�eet) : �� -� Lef t Side: .S`�� �' <br /> Adjacent Structures: �� Wetland: �D' � <br /> BuiJ.ding Height: Def. Hgt. �y5 Peak Hgt. t 5 <br /> Avg. Setback: /� �� Lot Coverage: /V' �f� <br /> Existing Proposed <br /> Hardcover: 0-75 � ' - <br /> 75-250 ' <br /> � , <br /> 250-500 � <br /> � <br /> � <br /> 500-1000 � <br /> , <br /> Hardcover Varia ce Req ' red: �es N ;'Date of Cotncil ApprovaJ�: <br /> ��__,"_�-.__ <br /> Grading: Staff pproval ate: ' By: Counci Approval. Date: <br /> � <br /> i <br /> Septic: Staf f A�provaJ. Dat�: � BY� <br /> \ <br /> ' Reso].u�ion Date: <br /> Zoning File:# Res �u�tion #: <br /> , i / <br /> REMARRS (in ho e) : � . <br /> i <br /> l <br />