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� - ' ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADl7RESS OR LEGAL: Z�(� SvC,�42Woo� �2 pID= <br /> DESCRIPTION OF WORK: F�N��r+ 3A Sew�n,,,� <br /> ------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: /V IA DATE APPROVED: <br /> BIIILDING REVIEW BY: �y o � DAT$ APPROVED: �{-2f1•S 2 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v No <br /> PLAN REVIEW Yes f No 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 OTHER (specify) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHECR LIST Zoni g District: <br /> Fire Department: Post Office S ool District: <br /> Lot Area: Width: Dep <br /> Survey Submitted: Yes No Dat of Survey: <br /> Proposed Setbac s: <br /> Front (La e) : R' ght Side: <br /> Rear (St eet) : eft Sidez <br /> Adjace Str ctures: W tland: <br /> Building H ight: Def. Hg . Peak H t. <br /> Avg. Setb ck: Lo Coverage: <br /> Exi ting roposed <br /> Hardco er: 0-75 <br /> 75-25 ' <br /> 250-50 ' <br /> 500-10 0 ' <br /> rdcover Va ian Requir . Ye No Date o Council ApprovaJ.: <br /> rading: Sta f pprova7� te: By: C uncil Approval Date: <br /> Septic: Staff pproval D te: BY: <br /> Zoning File: Reso ution #: Resolution Date: <br /> REMARKS (in house) : � <br />