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, 1 1. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: g 2 S O(AO (f J4ST 9 c. R k:' <br /> ID <br /> DESCRIPTION OF WORK: Zrut, 5-ro Pi AOC, t T7 Oa"1 <br /> ZONING REVIEW BY: mag6 , teJ DATE APPROVED: S- (I`ci 3 <br /> BUILDING REVIEW BY: ,.. �' <br /> e , DATE APPROVED: 5--2-6-9I <br /> Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes 1, - No <br /> PLAN REVIEW Yeso SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No 1---- PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: LX//, <br /> Fire Department:( A✓✓ C3K.e Post Office: t uA.Vy,Q+n4 School District: niZzAJO <br /> Lot Area: Yt4' C fib Width: Depth: <br /> Survey Submitted: Yes X No Date of Survey: 1 I.2 b•$S <br /> A- ON F I Lt. <br /> Proposed Setbacks: , 1 <br /> Front (-Berke)-: 55-0RightSide: Q5-po "� <br /> Rear ; ) : /ODD ' 4- Left Side:0)-70 ' i <br /> Adjacent Structures: I00 14- Wetland: /WA <br /> Juilding Height: Def. Hgt. Peak Hgt. e/ <br /> Avg. Setback: A I/�//'t-- Lot Coverage: f" <br /> Existing Pro•osed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varian - Requi ed: es io Date of Co , .cil Approval: <br /> Grading: Staff - rate: B : Counc 1 Approval Date: <br /> Septic: Staff - 1;te. By: <br /> Zoning File:# R=soluti• #• Reso ution Date: <br /> REMARKS (in ,louse) : <br />