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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> e <br /> ADDRESS OR LEGAL: 3'72S -TV6 O f20Prp PID: <br /> DESCRIPTION OF WORK:- Q E-FAC- f(LO Ghf-`t Ge <br /> ------------------- ---- ------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: -� Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes --' No <br /> PLAN REVIEW Yes G--**�No SEWER CONNECTION <br /> STATE SURCHARGE Yesy No WATER CONNECTION <br /> INVESTIGATION FEE Yes No-(C PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: LIZ-1L- <br /> Fire Department:(/1A,Pv.-,J Post Office: W!"24r;4- School District: g710,yX-4-4- <br /> Lot Area: S34 3 c y S _ Width: Z`'(If Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) : Right Side: <br /> Rear (Street) : Left Side: <br /> P0- �1�5 <br /> Adjacent Structures : Wetland: <br /> Building Height: Def. Hgt. CPPeak Hgt. V , /c-- <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 <br /> 500-1000 <br /> Hardcover Varia ce Requi\te <br /> es o Dat of Council pproval: <br /> Grading: Staff pproval By: Council Appr val Date: <br /> Septic: Staff A proval DBy: <br /> Zoning File: # ti n # : Resolution D te: <br /> REMARKS (in hou e) : <br />