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� � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z� S� S (�IO«�-��'`r� PZD: <br /> DESCRIPTION OF WORR: r'i�1�S' h'1 Q�AS�;MLI'�C'� <br /> ------------------------------------------------------ <br /> ZONING REVIEW BY: /U I/� DATE APPROVED: <br /> BIIILDING REVIEW BY: � DATE APPROVED: � -/� ' c13 <br /> --------------------c�s-'�------------------------------------------------------� <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 �' PARR FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: Post Office: chool D�.strict: <br /> ( <br /> Lot Area: Width: D pth: <br /> Survey Submitted: es No Date f Survey <br /> Proposed Setback : <br /> Front (Lak ) : Ri t Side: <br /> � <br /> , <br /> Rear (Str et) : L ft Side: <br /> Adjacent Struct res: etland: <br /> Building Hei ht: De . Hgt. Peak gt. � <br /> Avg. Setbac : Lotl Coverag : <br /> xisting ; i�Proposed <br /> Hardcover• 0-75 ' � � � � � � <br /> i� <br /> 75-250 ' ;� <br /> i <br /> 250-500 ' � � <br /> 500-1000 ' � � <br /> Hardc ver Variance eq red: Yes '/ No_,7 Date of Coun il Approval: <br /> Gra n : Staff A ov I. Date: � B : Council Approval Date: <br /> q PP �— � <br /> Se ic: Staff Appr v I. Date: BY= <br /> � <br /> Z ning Fi].e:# Reso ution #: � Resol. tion Date: <br /> REMARKS (in house) : <br />