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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: .. Z-C -0 OAlo' 0- - PID �. .::.: �_<,..�,._ _. 4..-�`_- .,.,_...-- , <br /> DESCRIPTION OF WORK: I3e <br /> - - <br /> _ I " -..._.. ...,:.W> DATE APPROVED: - , --rt <br /> ZONING REVIEW BY: <br /> BUILDING REVIEW BY: DATE APPROVED: - <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes /-7v.-No <br /> PLAN REVIEW Yes z-----No SEWER CONNECTION <br /> STATE SURCHARGE y Yes -No WATER CONNECTION <br /> INVESTIGATION FEE Yes NoPARK FEE <br /> SAC Yes N6-7/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: \ / t Office <br /> ri-looE7strict: <br /> Lot Area: h: �- 'epffis <br /> Survey Submitted: Yes / No Date of Survey: - /3 -53 <br /> * 0,4 t=c L.0 <br /> Proposed Setbacks: <br /> Front ( ) : 3(oC) r ± Right Side: (60 ' 4- <br /> Rear (Street) : /Z- 4) ( +Z- 4) ( + Left Side: <br /> yO r4— <br /> Adjacent <br /> Adjacent Structures: " 47-7-x-C <br /> ftL� Wetland: (5-(. ( 4-- <br /> Building <br /> -Building Height: Def. Hgt. /C//f1- Peak Hgt. / ( /4 <br /> Avg. Setback: Lot Coveage: <br /> Exi 'ng Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 4111 <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: T'es No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File:# Resolution # : Resolution Date: <br /> REMARKS (in house) : <br />