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� � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> '� FOR OFFICE USE ONLY <br /> • ,A <br /> ADDRESS OR LEGAL: �ZC7 pA 1107�A PID: <br /> DESCRIPTION OF WORR: CI� <br /> ------------------- - ------------------------------------�--+ ----------------- <br /> ZONING REVIEW BY: DATE APPROVED: �--�-L`-Q,� <br /> BIIII,DING REVIEW BY: � DATE APPROVED: � "��•-� 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated 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: 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 /> Existing Proposed <br /> Hardcover: 0-7�' ° . <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approva�: <br /> Grading: Staff Approval. Date: By: Council Approval Date: <br /> Septi c: Staf f Approval. Date: By= <br /> Zoning File: # Reso�ution #� : Reso�.ution Date: <br /> REMARRS (in house) : <br />