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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE�SE ONLY , <br /> ADDRESS OR LEGAL: .��r�- (� C� K �-C I ��l <br /> � PID: <br /> DESCRIPTIONOFWORK: �vc�� f-�c(�lr ?�?�S Cc�c�'�' ;.-,�c�l � �/l ,% �; j�i S��in�;��� <br /> ' -�L--_-� �---f�-�-�- - <br /> ------���2��=f_�.rl1_?c�P_z�����--�- ---=.� -,�=�� -°��_---- - � � � ��= <br /> ------ <br /> ZONING REVIEW BY.• �; T DATEAPPROVED: � � � <br /> BUILDING REVIEW BY.• DATEAPPROVED: '1- 2 -v'� <br /> FEES TO BE CHARGED: Misc. Fees Ccrlculczted By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes—� No SEYVER CONNECTION <br /> STATE SURCHARGE Yes c/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No _� PARK FEE <br /> SAC Yes No_� SITE INSPECTION <br /> Nzm�ber of SAC Units OTHER (spec�) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning Drstrict: L �� — I�T <br /> Fire Depar•tment: Post Office: School Dish•ict: <br /> � <br /> Lot Aren: Sq.fl. Acres � /aL � Width Depth <br /> Sznvey Submitted: Yes� No Date of Sttrvey: j l.'� � <br /> Proposed Setbacks: <br /> S o����✓I �ters�{f-sk�e}- �d U�� Right Side: <br /> �'� ��c�l�h �+d r� s� � <br /> Reaj•(�): � � Left Side: <br /> �1'l�C� � l�C— IY1G��Z , <br /> Adjacent Strzrcta�res: /i l�'etland: <br /> Building Height: Def Hgt. n 6� Peak Kgt. <br /> Lot Coverage: <br /> Grading.• StaJf Approval Date: By: Coamcil Approva!Date: <br /> Septic: StaffAppr•oval Date: , By: I��.�` <br /> � , ; Se�-�bQc� �ari�h� <br /> �� 7_oning File: # � ��--�� Resolutiat: # ��Resoltrtioit Date: �c:� ►�ic-+�'� �ic�+(�cn� <br /> S/�orelaf�d Distr•icl: � tt�ICWD Per�nrit: <br /> �lvg. Selback. «�� !3/uff Setback: r� Lot Coverage: <br /> E,risti��g Pr•oposec! <br /> flardcover•: -� <br /> � <br /> .�-� 1' �� 4�,���,_ <br /> �00-1000' _��7 GICJ � U(, ( <br /> Haj•dcover ["ai�rance Re��trired: }'"es No S� Date of Coz�ncil.<ipproi�al. <br /> REMARKS(in l:ouse): <br /> 33 <br />