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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> / FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 11�' %L ;ulr i.; % '. �/ PID: <br /> DESCRIPTION OF WORK: <br /> ------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: /O - 9 -5 2- <br /> BUILDING <br /> BUILDING REVIEW BY. 44, DATE APPROVED: /D` 1`'91-a' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes-4z 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 C7-1' SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: Rk-ld <br /> Fire Department: r1Uo,vJ Post Office: Y7,' WQ vJ- School District: /U/G_ <br /> Lot Area: L(22,V00Iz.Ir idth: 338r Depth: 26Y <br /> Survey Submitted: Yeses No Date of Survey: / 0 -6-f7- <br /> Proposed Setbacks: <br /> Front C1 Right Side:--,5- 'AZ <br /> Rear (Street) :— S i4 Left Side: A11A <br /> Adjacent Structures: A-777+c+k-d Wetland: AlloO <br /> Building Height: Def . Hgt. Peak H t. <br /> i <br /> Avg. Setback: to A Lo Coverag _ <br /> E i ting Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varia e Required: Yes No Date of C uncil Approval: <br /> Grading: Staff pproval Da B Coun it Approval Date: <br /> Septic: Staff pproval a e: By: <br /> Zoning File: Resol ion # : Re olution Date: <br /> REMARKS (in house) : <br />