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- � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3Z�� �IOfZ77-� St`I�GIZC DRIuLpID: <br /> D$SGRIPTION OF WORR: t�CTI�c t-l-C�'J �r4r'ZA�, Y <br /> -------------------- -- ---------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 1� � �' �"l-j <br /> BIIII,DING REVIEW BY: �� �,v�n.��-- DATE APPROVED: I�" � ��� <br /> -------------------- <br /> FEES TO BE CHARGED: Misc. Fees Ca7�culated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓'' No WATER CONNECTION <br /> INVESTIGATION FEE Yes No r/� PARK FEE <br /> SAC Yes No�.--�' SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: C/� - tC - 1 <br /> Fire Department• c,�,a•,��,.,, Post Office: ^.. , School District: � � � <br /> Lot Area• /�, 7 S Y l� �f- Width: G✓� /�-v� � Depth: Z S` I� �' �4�-f' <br /> Survey Submitted: Yes X No Date of Survey: !u -lL- 5 3 <br /> Proposed Setbacks: � - � <br /> Front (�ak�) : ��y� Right Side: /S•/ (��� <br /> r-'� <br /> Rear (��s�-�) : 126f '�" Left Side: ��r (�%. <br /> Adjacent Structures: jb� � Wetland: rZ�//} <br /> � Peak H t. �� /� � <br /> Bui7�ding Height: Def . Hgt. 1� g <br /> Avg. Setback: /ii�1/�- Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> z 3•�� <br /> 250-500 ' �`� `�� � <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approva�: <br /> Grading: Staf Approva� Date: / By: Council Approval. Date: <br /> f J <br /> Septi c: Staf f` A provall Date: ' , B : <br /> �� <br /> Zoning File: #+_� Resoluti�n # : � Resolution Date: <br /> ;' <br /> REMARKS (in ho�.ise) : ? <br />