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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 6 kS oc o C 57 tlK Bev OPID: <br /> DESCRIPTION OF WORK: zew u 0EZ rgFFrGe SyhC-& <br /> ------------------------- <br /> ZONING REVIEW BY: /U (V,� DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: is, 11 3 <br /> -----------------------f ----------- ------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ti/ No <br /> PLAN REVIEW Yes r/ 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 CHECK LIST Zoning District: <br /> 1 <br /> Fire Depar ment: Post Office: SchobDistrict: <br /> Lot Area: Width: Depth: <br /> Survey Sub, it ed: Yes No DaJh <br /> rvey: <br /> Proposed Setbacks : <br /> Front (La e) : Ri : <br /> Rear l (Stre t) : Le <br /> Adjacent St 'uctures : Wetland : <br /> Building Height: Def . Hgt. Pea 3 Hgt. <br /> Avg. Setback: Lot Cover4ge : <br /> Existing ; Propose <br /> Hardcove : 0-75 ' <br /> 75-250 ' <br /> 50-500 ' <br /> 5 0-1000 ' <br /> Hardcove Variance Required: Yes No Date of Council Ap4oval : <br /> Grading: taff Approval Da e: B Council Approval Date : <br /> Septic: S aff Approval Date: By: <br /> Zoning Fiie: # R�' solution #: Resolution Date: <br /> REMARKS (in house) : <br />