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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3y (�/�4 fZTz�w nl P-6 PID: <br /> DESCRIPTION OF WORK: SK <br /> --------- -- --- <br /> - - --------------------------------- <br /> ZONING REVIEW BY: - DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED:- <br /> ---------------------- -4----------------------------------------------------- <br /> FEES <br /> PPROVED:------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW YesesNo SEWER CONNECTION <br /> STATE SURCHARGE Yes-�7- No WATER CONNECTION <br /> INVESTIGATION FEE Yes Nom PARR FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District <br /> Fire Department: Post District: <br /> Lot Area: lwidth: C7 / <br /> Survey Submitted: Yes No Date of Survey: Q <br /> Proposed Setbacks: r r4 <br /> Front ( 1©v "I` Right Side: 14sb <br /> r � <br /> Rear (" T) : 120 r f Left Side: so <br /> Adjacent Structures: Wetland: N/A- <br /> Building Height: Def. Hgt. Peak Hgt. 0. <br /> /L <br /> Avg. Setback: Lot Coverage: <br /> Exist ng Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Re uire s No D to of ouncil Approval: <br /> Grading: Staff Appro al Da e: By: Co cil Approval Date: <br /> Septic: Staff Appro al Dat y: <br /> Zoning File: # R s lution #: esolution Date: <br /> REMARKS (in house) : <br />