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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 5 Z S. ToN V-Aw►4 -PID: <br /> DESCRIPTION OF WORK: wi __ <br /> ZONING REVIE'A BY:-------- ------------DATE APPROVED.--- <br /> BUILDING REVIEW BY: ZX DATE APPROVED: /o <br /> FEES TO BE CHARGED:--- ---------- ---- ------_ <br /> Mise. Fees Calculated By: <br /> PERMIT Yes 1,-' <br /> PLAN REVIEW Yes L!! N0 SEWER CONNECTION 2 -0 <br /> STATE SURCHARGE Yes ti No WATER CONNECTION . <br /> INVESTIGATION FEE Yes No ✓ PARR FEE <br /> SAC Yes_ / No SITE INSPECTION <br /> Number of SAC Units I OTHER (specify) <br /> ZONING CHECK LIST -----------------Zoning District: <br /> Fire Department: L•L'• Post Office: School District: 0 04-� 1 <br /> Lot Area: 36,-1.7 Width: 7-C14 21 ,AA-t Depth: 1ZS <br /> Survey Submitted: Yes_,w No Date of Survey: <br /> 3 <br /> Proposed Setbacks: ' O <br /> Front (-Lake) : -3 !5- <br /> Right Side: f, <br /> Rear (S-t-r-eet) : ',?D Left Side: <br /> Adjacent Structures: fJ Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback:— NLot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No ✓ Date of Council Approval: <br /> Grading: Staff Approval Date: �?� 2 ' By: /A0. Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File•# Res olu on Resolution Date: <br /> REz ARKS (in house) : <br />