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CgECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> � a <br /> ADDRESS OR LEGAL: 3 Ig� � 0 RTI� 5 �� PID: _ ____ ._` <br /> D$SCRIPTION OF WORR: �� '�6"L' ' <br /> ---------------------- -- <br /> ---------------------------- <br /> Z ONING REVIEW BY: DAR.`E APPROVED: 3-I 6- g 5 <br /> BIIILDING REVIEW BY: <br /> DATE APPROVED: 3 '1 b ``► S <br /> --------- ----------- <br /> FEES TO BE CHARGED� Misc. Fees Cal.culated By: � <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes ✓No PARK FEE <br /> SAC Yes No -�r SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------- <br /> ZONING CHECR LIST Zoni g District• _ <br /> Fire Department• <br /> Post ffice• S hoo� District: ,__ <br /> Lot Area : Width: ept <br /> Survey Submitt d : Yes No Date f Surv y: <br /> Proposed Setb ks : <br /> Front (L ke) : Righ Side: <br /> Rear ( St eet) : Left Side : <br /> Adjacent Struct res : Wetland: <br /> Building Heig t: Def . Hgt. Peak Hg . <br /> Avg. Setback: L t Coverage: <br /> E ' stin Proposed <br /> Hardcover: 0-75 ' <br /> 75-2 0 ' <br /> 250-5 0 ' <br /> 500-10 0 ' <br /> Hardcover Var ance Requi ed Yes No Date of Coun � l Approval : <br /> Grading: Staf Approval t : 3y: Council. A proval Date : <br /> Septic: Staff Approval Dat : BY= <br /> Zoning File• � Resoluti n # • Resolution Date:�_ <br /> g.EMARKS (in house) : (NQ/�� 57��'� �� ��'�� � <br />