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CHSCR OFF LIST FOR ISSIIANCE OF P�2MITS <br /> FG� OFFICE USE ONLY <br /> ADDRESS OR LEGAL: P�' <br /> DESCRIPTI ON OF WORR: '(^ V� � l� ���`� <br /> ------- --------------------------------------------------- <br /> Z ONING REVIEW BY: � DATE APPROVED: �C, `�-Q I <br /> BIIILDING REVIEW BY: � .�/Ow`LI ___ DATE APPROVED: �(� - 7'� � <br /> -------------------- <br /> FEES TO BE CHARG�: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SIIRCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No� PARK FEE <br /> SAC Yes No� SITE INSPECTION <br /> Number of SAC Units OTI��,R (s�ecify) <br /> --------------------------------------------------------- - <br /> �nuru� ru�uCg �IgT Zoning Dist�ic�: <br /> Fire DeAar�ment: Post Of�ice: Sc:�ool Dist�ict: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Da�e or Survev: <br /> Pro�osed Setbac?cs : <br /> rront (Lake ) : Rignt Side : <br /> Rear ( Street ) : Lert Side: <br /> Adjacen�. Structures We��zzd: <br /> Building Height: Def. Ii t. p��k �Q�• <br /> Avg. Setback: Lot Cove�age : <br /> Exi y � ng Pr sed <br /> � / � <br /> Hardcover: 0-7 5 ���J " � <br /> 75-250 ' - <br /> 250-500 ' <br /> 500-I000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff ApprovaZ Date: BY� <br /> Zoning File - � Resolution ;- Resolution Date: <br /> REMARKS (in house) : <br />