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� CgECg OFF LIST FOR ISSE ONLYOF P�MITS <br /> FOR OFFICE U <br /> ADDRESS OR LEGAI,: �£SZ`'� �5�'' Po`�'r '(`� PID: <br /> D$SCRIPTION OF WORR: � e�� <br /> ---- ------ � <br /> -------------DATE -- <br /> ---------- --- - : S' •22-`LJ <br /> ---------- APPROVED <br /> ZONING REVIEW BY- <br /> DAT$ APPROVED: 5 ' Z Z-gS <br /> BIIII,DING REVIEW BY: ---------------------------� <br /> --------------------- <br /> ------------------ <br /> FEES TO BE CHARGED- Misc. Fees Ca�culated By: <br /> PERMIT Yes C/ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> WATER CONNECTION <br /> STATE SURCHARGE YeS � NO pp,RK FEE <br /> INVESTIGATION FEE Yes No v' <br /> SAC Yes No J SITE INSPECTION <br /> OTHER ( specify) <br /> Number of SAC Units ----------------------- <br /> -------------------------------- <br /> ZONING CHECR LIST <br /> Zoning District: ����- <br /> ost 0 ic . S o� District: <br /> Fire Department: � <br /> Lot Area : idth: <br /> Survey Submitted: Yes <br /> � No Date of Survey: C�rY �-/C.� <br /> Proposed Setbacks : � <br /> � s <br /> Front (��') = �n Right Side: 6 3 _� <br /> Rear (�e�� = N <br /> (/.( Left Side: �� � w <br /> Adjacent Structures: �q-�u�-'� Wetl.and: N�F4 <br /> / Peak Hgt. � <br /> Building Height: Def . Hgt. d`Jr� <br /> Avg. Setback: i'✓�� Lot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> �� � <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> g C uncil Approval Date : <br /> Grading: Staff Approv Date: Y= <br /> Septic: Staff Approv Date: BY <br /> Zoning File•# Re olutio # • Resol.ution Date: <br /> Rg.MARKS (in house - � <br />