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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1000 OCA1 (J.y - rgA1 s12..zi PID: <br /> DESCRIPTION OF WORK: YV C L R1=.S <br /> ZONING REVIEW BY: " i. DATE APPROVED: J1 - C7-i3 <br /> • <br /> BUILDING REVIEW BY: i_, 4O : DATE APPROVED: 1 / - 9 - i <br /> I <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: -1 0.AA Sst Arr+4CMts.O <br /> PERMIT Yes - No /71 <br /> PLAN REVIEW Yes i-- No SEWER CONNECTION /7,122-So <br /> STATE SURCHARGE Yes L- No WATER CONNECTION rurA <br /> INVESTIGATION FEE Yes No ' PARK FEE NJA <br /> SAC Yes ------ No--- SITE INSPECTION N/A <br /> Number of SAC Units I _ OTHER (specify) /V/6 <br /> ZONING CHECK LIST Zoning District: RR.-I(3 <br /> Fire Department: tewi (4 --G Post Office: wof-LA.114 School District: olL4NO <br /> Lot Area: 2.M sett-.%T Width: 2/3' ; Depth: 3st * Ave <br /> Survey Submitted: Yes X. No Date of Survey: r C7- zo-5 3 <br /> Proposed Setbacks: <br /> Front (Bake) : [70 ' Right Side: c/o, <br /> Rear (Suet) : i7' Left Side: SL' e <br /> Adjacent Structures: Wh9 Wetland: /`I0 <br /> Building Height: Def . Hgt. Z$` Peak Hgt. 33'5 <br /> Avg. Setback: /V44 Lot Coverage: /1/64 <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' !8'•7`770 I z�onlinr5 -+3u.e <br /> 250-500 ' Z7/€°7 <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes Noy_ Date of Council Approval: <br /> Grading: Staff Approval Date: j(- € - 13 By: 6..C). Council Approval Date: <br /> Septic: Staff Approval Date AP <br /> Zoning File: # :e •o tion # . I Resolution Date: <br /> I <br /> REMARKS (in house) : <br />