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� � CHECR OFF LIST FOR ISSIIANCE OF P$ItMITS <br /> FOR OFFICE USE ONLY <br /> ADDRES S OR LEGAL: �{�� �. I I�l L�N AV e PID: <br /> DESCRIPTION OF WORR: �NT�7t,�p2, R,C'7'y�,p QEL "f �l(�I N�"�, <br /> ------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �/�� DATE APPROVED: <br /> BIIII,DING REVIEW BY: DATE APPROVED: `7-'�S "�II <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> / <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes /�° � SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ NO �/ WATER CONNECTION <br /> INVESTIGATION FEE Yes No r/ 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: Y No Date of urvey: <br /> Proposed Setbacks: <br /> Front (Lake) : Right de: <br /> Rear (Street : Left ide: <br /> Adjacent St ctur s : etland: <br /> Building Height: Def. gt. Peak Hgt. <br /> Avg. Setback: L t Coverage: <br /> Ex' sti g Proposed <br /> H?rdcover: 0-. 5 ' <br /> 75 250 ' <br /> 25 -500 ' <br /> 50 -1000 ' <br /> Hardcover Variance Requ 'red Yes No Date of Council Approval: <br /> Grading: Staff Approval Da e: By: Council Approval Date: <br /> Septic: Staff Approval D e: By: <br /> Zoning File:# ��� Resolution #: Resolution Date: <br /> REMARRS (in house) : <br /> 6 <br />