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~ CHECR OFF LIST FOR ISSIIANCE OF PSRMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS CfR LEGAL: /�7� �D K .�T2�C T PID: <br /> DESCRIPTION OF WORR: S�o���e. 5I-FC� <br /> ------------------- ----------------------------------------------------------- <br /> ZONING REVIEW BY: /li DATE APPROVED: �' - vL CJ- 9 G <br /> BIIILDING REVIEW BY:���y,,,�,w ------DATE APPROVED: �S .3 1 -5 b <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 Noc/' PARK FEE <br /> SAC Yes No_� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -----------------------------------------------------��--��---------------� <br /> ZONING CHECK LIST Zoning District: - <br /> Fire Department:_�� Post Office: ``- School District: <br /> Lot Area: `�- Width: Depth: <br /> Survey Submitted: Yes ✓No Date of Survey: � - � Z - (p � <br /> Proposed Setbacks : ' � <br /> Front (Lake ) : � U O � Right Side : �b O <br /> �{Street ) : f!�O ��- Left Side: �60 r <br /> V`'eP ra-t <br /> Adjacent Structures : 5 ��� Wetland: <br /> 6-e*'cu���F e�!i p e.t c�e �.F P r v p o s e v -�t�v.U <br /> Bui lding Height: Def. Hgt. Peak Hgt. // � �� � ` <br /> Avg. Setback: Lot Coverage: �I � <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No �Date of Council Approval: � <br /> Grading: Staff Approval Date: ---��- By: -�-Council Approval Date: i <br /> i <br /> Septic: Staff Approval Date: _� By: -��- ; <br /> � <br /> Zoning File: # �- Resolution # : �- Resolution Date: �— ; <br /> � , i <br /> REMARKS (in house) : � �o y <br /> I <br />