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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ( I (00 T-bki (�-A A PID: <br /> DESCRIPTION OF WORK: 5Ki LS <br /> Lt E <br /> ZONING REVIEW BY: /%..1 /(41 DATE APPROVED: <br /> BUILDING REVIEW BY: -- DATE APPROVED: I(- 7-5Y <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> PERMIT Yes VNO_ <br /> PLAN REVIEW Yes __No - SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No !/ PARK FEE <br /> SAC Yes Not SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning Dis rict: <br /> Fire Department: Post Office: Schoo Di -trict: <br /> Lot Area: Width: Depth: <br /> Survey Submi ed: Yes No Dare of Su vey: <br /> Proposed Setcacks: <br /> Front ( a e) : 'ight Si. - : <br /> Rear ( 'tr=et) : Left Sid - : <br /> Adjace, t S ructures: Wetlafd: <br /> Building H: ight: Def . Hgt. r� Pe•.k Hgt. <br /> Avg. Setba k: Lot Cove age: <br /> Existing i Propo-ed <br /> Hardcover. 0-75 ' 1 <br /> 75-250 ' <br /> 250-500 ' <br /> '.00-1000 ' <br /> Hardcov-r Variance required: Yes No Date of Council Approval: <br /> Gradin. : Staff Appro al Date: /By: Council Appr. al Date: <br /> Septic Staff Approval Date: By: <br /> Zoning File:# Resolution #: Resolution Date: <br /> REMARKS (in house) : <br />