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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> t FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S TpNK��..�A PID' <br /> DESCRIPTION OF WORK: Pd2C/t -t- �LG-lL <br /> -------------------- - ---`-------------------------------- --------------- <br /> ZONING <br /> ------------------ --------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: &" 2 -1- `1% <br /> BUILDING REVIEW BY: DATE APPROVED: & <br /> ----------------- <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 CHECK LIST Zoning District: <br /> Fire Department: P st Of ice: School District: <br /> Lot Area: W' th:_ Depth: <br /> Survey Submitted: Yes-y- No Date of Survey: <br /> Proposed Setbacks: N <br /> Front (-Eraice) : S L Right Side: 4( <br /> Rear (,meet) : "3U Left Side: SC' S <br /> Adjacent Structures: p-77T)4C,/-eWetland: /4d 4- <br /> Building Height: Def . Hgt. (9 , 1-- Peak Hgt. <br /> Avg. Setback: Lot Cov rage: <br /> Ex sting Prop sed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance equir d: Yes No Da e of Cou cil Approval : <br /> Grading: Staff App oval D to By: Counci Approval Date: <br /> Septic: Staff App oval Da e: BY= <br /> Zoning File: # Fe olution # • Resolu ion Date: <br /> REMARKS (in hous ) : <br />