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� ' ' ` CHECIC OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE IISE ONLY <br /> ADDR$SS OR LEGAL: GJ�(D ��Q7-f � l�/� PID: � . . <br /> _ . <br /> DBSCRIPTION OF WORR t PO o I <br /> ZOrTING REVIEW BY:---- --- ------------DATS APPROV�:----�(�-2-�'�S K----------- <br /> BIIII.DING REVIEW BY: DATS APPROVSD: Y' 2.Ff S�-{ . <br /> -------------------- ----------- <br /> FEES TO Bg CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No � � <br /> PLAN REVIEW Yes r� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/' No WATER CONNECTION <br /> INVESTIGATION FEE Yes No !/' PARR FEE <br /> SAC � Yes No �� SITE INSPECTION <br /> Number of SAC IInits OTHER (specify) <br /> ZONING CHECR LIST -----------------Zaning District: G��/�------------ <br /> Fire Department: Pos f i e: �hool District: <br /> Lot Area: idt Depth: <br /> Survey Submitted: Yes� No Date of Survey: '�- Z�• 5� <br /> Proposed Setbacks: � <br /> Front (�e-) : Z-5 O Right Side: Z� � <br /> Rear (S��t) : Z�0 ` Lef t Side: lUo�y S <br /> Adjacent Structures: �b � Wetland: �� � <br /> � Building Height: Def. Hgt. /�l /�- _ Peak Hgt. /1/�� <br /> Avg. Setback: �• �� Lot Coverage: � ' K' <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Requ red: Yes N Date Council Approva7�: <br /> Grading: Staff Approv ate: By: C uncil Approval Date: <br /> Septic: Staff Approv te: BY <br /> Zoning File:# Reso ution : Resolution Date: <br /> RFdKARRS (in honse : <br />