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CHBCR OFF LIST FOR ISSIIANCE OF P$RMITS <br /> FOR OFFICE USE ONLY <br /> ,.,/�� <br /> ADDR$SS OR LEGAL: 1�S �(���G�i� �_ PID: <br /> DESCRIPTION OF WORR: �/'1! ��Y��Z-- <br /> ------------------------------------------------------------------------------� <br /> ZONING REVIEW BY: � DATE APPROVED: <br /> BIIILDING REVIEW BY: � DATE APPROVED: �-I g� a <br /> FEES TO BE CHARGSD: Misc. Fees Calculated By: <br /> PERMIT Yes v 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: Post Office: School District: <br /> Lot Area: Wi th: Depth: <br /> Survey Submitted: Yes No Date of Su vey: <br /> Proposed Setbacks : <br /> Front (Lake) : ight Side: <br /> Rear ( Street) : Le t Side: <br /> Adjacent Structures : Wetla <br /> Building Height: Def. Hgt. Peak gt. <br /> Avg. Setback: Lo Coverage : <br /> ' sting P posed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Requir d: Yes No Date f Council Approval: <br /> Grading: Staff Approval Da e: By: Co ncil Approval Date: <br /> Septic: Staff Approval Date: By: � <br /> Zoning File: # Resolution # : Resolution Date: , <br /> , <br /> REMARKS (in house) : ! <br /> i <br /> � <br /> � <br />