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CgECK pFF LIST FOR ISSIIANCE OF PFR�'dlTs <br /> ' V � FOR �FFICE USE ONLY <br /> ADDRESS OR LEGAL: !I 7 �1 /�) <br /> 0 R�1� 14{LV�^--- PID: <br /> DESCRIPTION OF WORR: i7 T (��f?�}b�'s <br /> --DATE -------- 9- /2 • .S" <br /> ------------------------------ <br /> ------- � <br /> APPROVEDz <br /> ZONING REVIEW BY: <br /> � <br /> BIIILDING RL�7IEW BY: "� <br /> DATE APPROVED: �t -! Z-5.5 <br /> ---------- <br /> ---- ---------------- <br /> FEES TO BE CHARG�D• Misc. Fees Cal.culate y� <br /> PERMIT Yes -�No <br /> PLAN REVIEW �f../ No SEWER CONNECTION <br /> WATER CONNECTION <br /> S T A T E S U R C H A RGE Yes ^� No y�., P�gK FEE <br /> INVESTIGATION FEE Yes No �� SITE INSPECTION <br /> SAC YeS OTHER ( specify) <br /> Number of SAC Units ------------------------- <br /> ------------- <br /> -------------------------- <br /> ZONING CHECK LIST <br /> Zoning District: G/L'� <br /> Fire Department: /'►� <br /> Post Office• �� School District: � <br /> Lot Area : I�l, 37� <br /> Width: I"Z 5 Depth: �5 S <br /> Survey Submitted: Yes� <br /> No Date of Survey: S - 6- � � <br /> Proposed Setbacks : Right Side- N �� <br /> Front (�) = 3 5� <br /> � � �� , <br /> c�-.rPP� ) : SS Left Side: � <br /> Re a r (-------- � <br /> Adjacent Structures : <br /> Z g ' Wetland: N��' <br /> ht: Def. Hgt. � Peak Hgt. <br /> Building Heig - <br /> Lo Coverage <br /> Avg. Setback: roposed <br /> E isting <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varian e Requ red: Yes No Date of Council Approva�:__ <br /> Grading: Staff pproval. Date BY• <br /> Co ncil Approval. Date: <br /> Septic: Staff pproval D te• B�'= <br /> File•# R solut on � • esolution Date:�_ <br /> Zoning - <br /> RE1�,Sp,RgS (in ouse) s . <br />