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► , CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z S�S Ly���, PID' <br /> DESCRIPTION OF WORR: (,�l,•.r✓Jo�1 � Pa-�=l'� r(���"� G�� <br /> ------------------------- ------------------------ <br /> ZONING REVIEW BY•� DATE APPRO�TED: 3 �7^ `7� <br /> BIIILDING REVIEW BY: DATE APPROVED: 3 � Z? �5 <br /> -------------------- <br /> FEES TO BE CHARGF,D: Misc. Fees Ca�culated By: <br /> PERMIT Yes �No <br /> PLAN REVIEW Yes � N�2- 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 Depar ment: Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitt . Yes No Date of Survey: <br /> Proposed Setbacks <br /> Front (Lake) : Right Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structures Wet nd: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Vari nce Required: Yes No Dat of Council Approva�: <br /> Grading: S ff Approval Date: By: Co cil Approval Date: <br /> Septic: taff Approval Date: By: <br /> Zoning FiJ.e: # Resolution #: Resolutio Date: <br /> REMARRS (in house) : , <br /> \ <br />