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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: C,,gS VZ 0 PID: <br /> �— <br /> DESCRIPTION OF WORK: s <br /> ------------------------- ----------------- ----------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED:- - 2ZAL= <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes Z7"o 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 /> -------------------------------------- <br /> ZONING CHECK LIST Z ning District: &-/t3 <br /> Fire Department: Of ' c tct: <br /> Lot Area: 13c) i4�3 WiPos h: e th <br /> Survey Submitted: Yes- No Date of Survey: <br /> Proposed Setbacks: 01 <br /> Front ( ) : S�D Right Side: ( ?-00 <br /> Rear (S.txe.et) : �(�� ` Left Side: <br /> cr <br /> Adjacent Structures: tC9 4- <br /> Wetland: <br /> Building Height: Def . Hgt. /,S.S Peak Hgt. lSS <br /> Avg. Setback: A16 - Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes Nom pDate of Council Approval: <br /> Grading: Staf f Approval Date: Fs^ L - i`f By:pC :-O Council Approval Date: N1 <br /> 11 <br /> Septic: Staff Approval Date: IV64- By: <br /> Zoning File• # 1 Ot k c� Resolution # : Resolution Date: 11-0-9111- <br /> REMARKS (in house) : <br />