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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 8O( TONgt4'wA R.tdQ PID: <br /> DESCRIPTION OF WORK: SC:-4A5Z 7V j00(2i_-J t C-A&h8SC-L" t Arc, <br /> ZONING .REVIEW BY: -- --------------DATE APPROVED_-- �.o <br /> DATE APPROVED: <br /> BUILDING-REVIEW-BY <br /> --- <br /> -- ------------------------------------------------------- <br /> REFS TO BE CHARGED. Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes �No SEWER CONNECTION <br /> STATE SURCHARGE Yeses"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 /> -------------------------------------- <br /> ZONING CHECK LIST Zoning District: C./L•16 <br /> Fire Department: Post ff • c S ool District: <br /> Lot Area: Width ept <br /> Survey Submitted: Yes-.X— No Date of Survey: <br /> Proposed Setbacks : <br /> pr-Gat (Lake) : <br /> Right Side: N <br /> R a,ar- (Street) : /5b` Left Side: 2,101t <br /> Adjacent Structures : #47779cl46P Wetland: <br /> Building Height: Def. Hgt. Peak Hgt C�•(� <br /> Avg. Setback: �• k- Lot Coverage: Q (L <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' IJ t#4 <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes <br /> No Date of Council Approval:_ <br /> $ <br /> Council Approval Date: <br /> Grading: Staff Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning Filer Resolution : 3!�'( Resolution Date: <br /> REMARKS (in house) : <br />