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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 10 Z� 'T ujr f ^�e PID: <br /> DESCRIPTION OF WORK: 0 c=L. <br /> . ---------------- :------------------- <br /> --------------------- ----- <br /> ZONING REVIEW BY: DATE APPROVED <br /> BUILDING REVIEW BY• ,..`_ DATE APPROVED: j -12--ei'L- <br /> --------- <br /> --------------- ---------- <br /> FEES TO BE CHARGED: <br /> Misc. Fees Calculated By: ----' � <br /> PERMIT Yes v No <br /> PLAN REVIEW Yes�� No SEWER CONNECTION <br /> STATE SURCHARGE Yes-7 No WATER CONNECTION <br /> INVESTIGATION FEE Yes No—;7" PARR FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------ <br /> ZONING CHECK LIST Zoning Distri t: <br /> Fire Department: Post Office: School Di s ict: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Ye No Date o Sury y: <br /> Proposed Setbacks: <br /> Front (Lake) : Rig Side: <br /> Rear (Street) : Le Side: <br /> Adjacent Stru ture Wetland: <br /> Building Height: Def. gt. Peak Hg . <br /> Avg. Setback: L t Coverage: <br /> Ex i ting Proposed <br /> Hardcover: 0-7 ' <br /> 75-2 0 ' <br /> 250- 00 ' <br /> 500- 00 ' <br /> Hardcover V riance Re uir Ye No Date of Council Ap roval: <br /> Grading: S aff Approv 1 ate: By Council Appro al Date: <br /> Septic: S aff Approva ate: By: <br /> Zoning F',le:# Reso ution #: i Resolution Date: <br /> REMARKS (im house) : J <br />