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` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: IIGO TO �,AVJA 0--o.4,(0 PID: <br /> DESCRIPTION OF WORK: P AEE7M VLL L QC o 2A o-^� S - CGA-`•l <br /> -------------------------------------------------------- <br /> - � w d caws <br /> ZONING REVIEW BY.--"L------------------DATE APPROVED:--- z -2z-9 ( ----� <br /> BUILDING REVIEW BY: DATE APPROVED: Z-ZZ- � � <br /> ---------------------- ------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes V/No <br /> PLAN REVIEW Yes r/No SEWER CONNECTION <br /> STATE SURCHARGE Yes t,--No WATER <br /> FCONNECTION <br /> INVESTIGATION FEE Yes No <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: G/cl - /& <br /> Fire Department: L.L. Post Office: �_ School District: p 2oti►a <br /> Lot Area: Width: Depth: <br /> Survey Submitted:11 Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) : C1� Right Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structures : Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot 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: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File:# Resolution #: - Resolution Date: <br /> REMARKS (in house) : <br />