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� <br /> � CHECK OFF LIST FOR ISSIIANCE OF PF�RMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �S�S o'`-1 U s t-4-�Q�- 0 2 PID: <br /> DESCRIPTION OF WORK: �N`T����� ��-���=-Z <br /> ------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: /U�/� DATE APPROVED: <br /> BIIILDING REVIEW BY: v�ti-- DAT$ APPROVED: �l- X�S 2- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v 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 Zoni� District: <br /> Fire Department: Post Office•,` School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: ` Yes No Date of Survey: <br /> Proposed Setbac s: <br /> Front (Lak, ) : Right Side: <br /> Rear (Str�et) : Left Side: <br /> Adjacent �Structures: , V,letland: <br /> �' <br /> Building Heic,�ht: Def. Hgt. Peak Hgt. <br /> Avg. Setbac : Lot Cove age: <br /> Existing posed <br /> i <br /> Hardcover:/0-75 ' � <br /> ; <br /> 5-250 ' ��` <br /> ij <br /> 50-500 ' i �► <br /> 00-�1000 ' �'� <br /> Hardcover Variance Required: Yes � No Date of Council Approval: <br /> Grading: Staff ApprovaI. Date: By: Council Approval Date: <br /> Septi c: Staf f Approval. Date: BY= <br /> Zoning File: # Resolution #: Resolution Date: <br /> REMARKS (in house) : ' <br />