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.o. Ca e S/33/9/ <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE/�O��NLY <br /> . <br /> ADDRESS OR LEGAL: 35 0(-10 GR-4( s-a t- 12 'ID: <br /> DESCRIPTION OF WORK: . - •E---7e.7"... ADO(T1 t <br /> ZONING REVIEW BY: v 11 DATE APPROVED: -30-c( % <br /> BUILDING REVIEW BY: 4)4,, 61,1„ DATE APPROVED: 5 - 30 - er I <br /> FEES TO BE CHARGED: ! Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW .-Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yesi 4 No WATER CONNECTION <br /> INVESTIGATION FEE Yes No l.,--- PARK FEE <br /> SAC Yes Noy SITE INSPECTION <br /> - <br /> Number of SAC Units OTHER (specify j$ 6,640 ?CAN(2,E\ tad <br /> ZONING CHECK LIST Zoning District: Qi .-LS <br /> Fire Department: LL Post Office: L. L . School District: 02o•v, <br /> Lot Area: - SSh1 Width: f}Ve 26-7I Depth: 17 Ff 1 <br /> Survey Submitted: Yes No Date of Survey: 4/-Zt(-9I <br /> Pro•osed Setbacks: <br /> a ront (-Berke) : 67 i Right Side: 7 0 ' Ce <br /> rear O : S6 (+ Left Side: /007` 41) <br /> Adjacent Structures: 1 3 / -ho (,g/LG Wetland: /V <br /> Building Height: Def. Hgt. N//4 Peak Hgt. 147/4 <br /> Avg. Setback: A/ Lot Coverage: N/4 <br /> Exi ting Proposed <br /> Hardcover: 0-75 ' /t///-`} <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No V Date of Council Approval: <br /> Grading: Staff Approval Date: /i/' - By: Council Approval Date: <br /> Septic: Staff Approval Date:perobfAJ By: <br /> Zoning File:# /J //4- Resolution #: Resolution Date: <br /> REMARKS (in house) : PLANS w en.t- ( e v%see.P h Am - (lU 1 e <br /> t.,J4-75 Go S " 2 o2 E c tt4 CA1ASLCope AT $ 30,C`� <br /> pew t--o . - eel o- (3-.c_., <br />