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AN CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: "e41 T-0 PID: <br /> DESCRIPTION OF WORK: fte-- ' ✓O'e C. <br /> ------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yesy No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ----- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No--- <br /> PARK FEE <br /> SAC Yes No--v SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------- - <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: ; Sc ool Distric <br /> Lot Area: Width: Dept <br /> Survey Submitted: Yes No Dat of Survey: <br /> Proposed Setback <br /> Front (Lake Ri ht Side: <br /> Rear (Stre ) : eft Side: <br /> Adjacent tructures /Cerage. <br /> and: <br /> Building Heig t: Def. H t. ak H <br /> Avg. Setback Lot <br /> Exis ing Prd <br /> Hardcover: -75 ' <br /> 5 250 ' <br /> 5 -500 ' <br /> 0 -1000 ' <br /> Hardco er Variance Requi d: Yes o Date of Council pproval: <br /> Gradi g: Staff Approval Date: y: Council Ap roval Date:_ <br /> Septi Staff Approval Date: By: <br /> Zoning File:# Resolution #: Resolution Date: <br /> REMARKS (in house) : <br />