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41� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: gq(-) /uO 5 HDi?t: OR- V/ PID: <br /> DESCRIPTION OF WORK: STD ZA s H C1C� <br /> ----------------------------------------------------------------------------- <br /> rte, <br /> ZONING REVIEW BY: DATE APPROVED: c' <br /> BUILDING REVIEW BY: � � _ DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes t/'� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No f PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: 1Z-( ?3 <br /> Fire Department: //4,-IV,9 Post Office:,L�O-m`) School District: InViIA14 <br /> Lot Area: .3 Width: q U� Depth:_ 3 6 c� <br /> Survey Submitted: Yes ,--,4,' No Date of Survey: ,-2-� <br /> Proposed Setbacks: <br /> Front Right Side:- <br /> Rear <br /> ide:Rear (Street) : 25d+ Left Side: 3ti0 ' <br /> Adjacent Structures : -75' Wetland: A11A <br /> Building Height: Def. Hgt. /t/f/� Peak Hgt. <br /> Avg. Setback: W21 Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> l <br /> 250-500 ' i <br /> 500-1000 ' <br /> Hardcover Variance Required,/ Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution #: Resolution Date: <br /> REMARKS (in house) <br />