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• ` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FORtOFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1005 CN-C CJ)A16 (-6i( PID: <br /> DESCRIPTION OF WORK: 0 CLIC <br /> �j <br /> ZONING REVIEW BY: Ql)•6 5DATE APPROVED: 1-l'!C7 • 5 S <br /> BUILDING REVIEW BY: ( ,-- DATE APPROVED: Li- L°% "5"-C <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes 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 /> ZONING CHECK LIST Zoning District: RR-l)) <br /> Fire Department: 001,3 (hIG6 Post Office: /UlC_ School District: ,t/fC. <br /> Lot Area: /Uo C4Aav66 Width: — Depth: <br /> Survey Submitted: Yes >c No Date of Survey: cr, FIDE <br /> Proposed Setbacks: <br /> Front (-hake) : 625 Right Side: (Z.01 -1= (.. )t <br /> Rear (Street) : TO( 4 O Left Side: Nf <br /> Adjacent Structures: AT- c406 Wetland: tO/A <br /> Building Heigh. Def . Hgt. Pea Hgt. <br /> Avg. Setback: Lot Covera.e: <br /> Existing Propose. <br /> Hardcover: 0-7. ' <br /> 75-2 0 ' <br /> 250-510 ' <br /> 500-1040 ' <br /> Hardcover Var'ance Requ red: Yes No Date of Cou cii Approval: <br /> Grading: Staif Approval sate B, : Council Approval Date: <br /> Septic: Staf Approval Date: By: <br /> Zoning File:# R=s•lution # : Resoluti.n Date: <br /> REMARKS (in house) : <br />