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" ' ' CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�`'(O S�'�C.�N�: �(Z. PID: <br /> DESCRIPTION OF WORR: ,2-C-7'IiVO iOGZ- ^ l/U TL'��' ��� �''�- S��'�'� <br /> ----------------------- <br /> ZONING REVIEW BY: N��" DATE APPROVED: <br /> BIIILDING REVIEW BY: � DAT$ APPROVED: j.��� y <br /> ------------------- --- <br /> FEES TO BE CHARGED: Misc. Fees Ca7�culated By: <br /> PERMIT Yes " No <br /> PLAN REVIEW Yes �o SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No—�� PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTxER (specify) <br /> --------------------------------------- <br /> ZONING CHECR LIST Zoning District: _ <br /> Fire Department: Post Office: Scho istrict: <br /> Lot Area: Width: Depth: <br /> Survey Submi ted: Yes No Date of urvey: <br /> Proposed Set cks: <br /> Front ( ke) : Right ide: <br /> Rear (S r et) : Left ide: <br /> Adjacen tructures: Wetla d: <br /> Building Hei ht. Def . Hgt. Pe k Hgt. <br /> Avg. Setbac : Lot Cove age: <br /> Existing Propo d <br /> Hardcover: -75 ' <br /> 75 250 ' <br /> 250 500 ` <br /> 500 1000 ' <br /> Hardcover ariance R quire : Y s N Date of Council A rova�: <br /> Grading: S aff Approv 1 D te: By: Council Appro al Date: <br /> Septic: St ff Approval te: BY= <br /> Zoning Fi e:# Resol tion # : Resolution D te: <br /> REMARRS (in house) : <br />