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CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> . � - . FOR OFFICE USE ONLY <br /> � ' ; <br /> ADDRESS OR LEGAL: pID: <br /> DESCRIPTION OF WORR: <br /> --------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BIIILDING REVIEW BY: . DATE APPROVED: ��� I�"�`� 3 <br /> FEES TO BE CHARGED: Misc. Fees Ca�culated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: L� �Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) : Right Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structures : Wetland: <br /> Bui�ding Height: Def . Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existin Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' . <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Requir cl Yes No Date of Council Approval: <br /> Grading: Staff ApprovaI. Date: By: Council Approval Date: <br /> Septic: Staff Approva7. Date: • BY= <br /> Zoning Fi�e:# ResoJ.ution # • Reso�ution Date: <br /> �F.MARgS (in house) : , <br />