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. CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��.,.2�_� �L ��L�� � I��tu �� PID:�� � %/ �".�? � ��" �'�.���� �/ <br /> DESCRIPTION OF WORK: ��/4IZj�lC� <br /> ------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: 5 ' DATE APPROVSD: �- ( � � 2-- <br /> BIIILDING REVIEW BY: � DATE APPROVED: �1 '"� � r7 Z- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v'� No <br /> PLAN REVIEW Yes � 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 /> ZONING CHECR LIST Zoning District: L R-IC- <br /> Fire Department: Wkx��� Post Office: ry4.,:. �a✓] School District: N�L- <br /> Lot Area: Zq 7 p .5 • b��:.�u:� Width: L.o�•� 3 Depth: /y�5 <br /> Survey Submitted: Yes_ CL No Date of Survey: ?-I`1- 5 Z- <br /> Proposed Setbacks: , <br /> Front (�-� : �(� -�- Right Side: Nf A <br /> Rear (S�-��e�.) : �5� �t' Left Side: 30 <br /> Adjacent Structures: /� � Wetland: /tj'//f <br /> Building Height: Def. Hgt. �, k.. Peak Hgt. U• I� <br /> Avg. Setback: /Uf�} Lot Coverage: �`�a <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250—soo � �3• 3�`l� <br /> 5oo—i000 � il • 5 Z `�° <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approva Date: 'r By: Council Approva� Date: <br /> 9 , <br /> Septic: Staff Approvad. te: �� � B�: <br /> ; ` � <br /> Zoning File: # ' Reso�tion %#: F Resolution Date: <br /> REMARKS (in house) : <br /> �, r - <br /> � ,�r' <br /> Y <br />