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- � . �- CHECR OFF LIST FOR ISSIIANCE OF PF�tMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2Z.�$ S t-hA+��w o-c-oP PID: ' <br /> DESCRI PTI ON OF WORR: I�O� 5�PO�2T Y-o �'t.cap/�. S y s T�'y*� <br /> ------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: N I/� DATE APPROVSD: <br /> BIIILDING REVIEW BY: c C�G�-- DATS APPROVED: Y�Ld'"�'7"3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v� No � <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes v- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARR FEE <br /> SAC � Yes NoT� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHECR LIST Zoning Dis ' ct: <br /> Fire Department: Post Office: School District: <br /> Lot Area: idth: Depth: <br /> Survey Submitted: Yes o Date o Sur ey: <br /> Proposed Setbacks: <br /> Front (Lake) : Rig Side. <br /> Rear (Street) : Le t Side. <br /> Adjacent Str ctures: Wetland: <br /> Building Height: Def. H t. Peak t. <br /> Avg. Setback: t Coverag : <br /> Exis ing Proposed <br /> Hardcover: 0 75 ' <br /> 75 250 ' <br /> 25 -500 ' - <br /> 50 -1000 ' � <br /> Hardcover Variance Re u red: Ye No Date of Council A proval.: <br /> Grading: Staff Approv Date: By: Council Appr val Date: <br /> Septi c: Staf f Approva7. Date: BY= <br /> Zoning File:# Resolution �: Resolutio Date: <br /> REMARRS (in house) : <br />