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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3,41 W EF-sr LAKE ST PID: <br /> DESCRIPTION OF WORK: aE'rwo01=Z-- <br /> ZONING REVIEW BY: (V / DATE APPROVED: <br /> BUILDING REVIEW BY: ..17 &4-4,1,44."- DATE APPROVED: `.1- /y-`)< <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No t- SEWER CONNECTION <br /> STATE SURCHARGE Yes-C/-No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No L/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIS Zoning District: <br /> Fire Department. Post Offic: : Sc ool District: <br /> Lot Area: Wid•h: Depth <br /> Survey Submitt: . : Yes N• Da e of Survey: <br /> Proposed Setba s: <br /> Front (L. : ) : R' ght Side: <br /> Rear (St e=t) : -ft Side: <br /> Adjacen • Structures Wetland: <br /> Building Hei.ht: Def. “gt. Peak Hgt. <br /> Avg. Setbac : Jot Coverage: <br /> Ex sting Proposed <br /> Hardcover: 0-75 ' <br /> 5-250 ' <br /> 2 0-500 ' <br /> 5r' 0-1000 ' <br /> Hardcov=r Variance Required Yes No Date o Council Approval: <br /> Grading. Staff App oval Dat- : By: Co ncil Approval Date: <br /> Septic Staff Appro al Date: By: <br /> Zoning File: # Re olution # : esolution Date: <br /> REMARKS (in house) : <br />