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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y S 1 ,5 &1� S 0,00 C: tor PID: <br /> DESCRIPTION OF WORK: y4dL4-Ce -<�- '" � <br /> y <br /> v-C- PA-+ S-C- 6 ff n <br /> ZONING REVIEW BY:------------------------- <br /> Y:--- --- ---- <br /> -------DATE APPROVED:-- -/G �i' 3 - <br /> BUILDING REVIEW BY: , � DATE APPROVED--- (0 -`(3-------------- <br /> ------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes /, /No <br /> PLAN REVIEW Yes No Gam' SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No--�Z� PARK FEE <br /> SAC Yes Nom/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------- <br /> ZONING CHECK LIST Zoning D"strict: <br /> Fire Departmen Post Off* ce: School t: <br /> Lot Area: Width: Dept <br /> Survey Submit a Yes No ate o Survey: <br /> Proposed Setb ck <br /> Front (L ke Right Side: <br /> Rear (St ee ) : Left Side: <br /> Adjacen St uctures: Wetland: <br /> Building Hei ht: Def. Hgt. Peak Hgt. <br /> Avg. Setbac L t Coverage: <br /> Existin Proposed <br /> f <br /> Hardcover: -75 ' <br /> 75 250 ' <br /> 25 -500 ' <br /> 500 1000 ' <br /> Hardcover ariance equi ed: Yes No Date of Council Approval: <br /> Grading: S aff Appro al/Date. By: Council Approval Date: <br /> Septic: Staff Approva Date By: <br /> Zoning File: # R solution : Resolution Date: <br /> REMARKS (in house) : <br />