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CHECR OFF LIST FOR ISSUANCE OF PSRMITS <br /> FOR OFFYCE USE ONLY <br /> ADDRESS OR LEGAL: � ( �� o�I1Cl.C�. ��; � �c� PID: ��- II I - � 3 �/3 �'l3S <br /> DESCRIPTION OF WORR: t� • <br /> --------------------------------------------------------- -- -----------------� <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BIIILDING REVIEW BY: DATE APPROVED: 0�2-3 `L <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �✓ No <br /> PLAN REVIEW Yes� No SEWER CONNECTION <br /> STATE SURCHARGE Yes� Na WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHSCR LIST Zoning District: �-R - ��i <br /> Fire Department: Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes� No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) : Right Side: N (� <br /> Rear (Street) :�L- Left Side: C.� <br /> r <br /> Adjacent Structures : �� Wetland: <br /> , <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: ? �j,�j� � _ ���oZ.b `o <br /> Existing Proposed <br /> Hardcover: 0-75 ' � � " <br /> 75-250 ' � ��� a�� � <br /> 250-500 ' �� 6e� � A�GS�iC� �0 � <br /> �f�e w+o�8� <br /> 500-I000 ' <br /> Hardcover Variance Required: Yes 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 /> REMARRS (in house) : <br />