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� CHECR OFF LIST FOR ISSIIANCE OF P$RMITS <br /> ` FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��P�'� ,��li k�7�- �/-�l PID: O �- /i7 ' �1,� �� �r��7 <br /> DESCRIPTION OF WORR: ��C� � �vc� J�-«-��� <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BQILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes�V,L No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHECR I,IST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front (Lake) : Right Side: <br /> � <br /> Rear (Street) : -- Left Side: <br /> Adjacent Structures : � 2 � Wetland: <br /> l <br /> Building Height: Def. Hgt. ,a / Peak Hgt._ /1 <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By= <br /> Zoning File: # Resolution #: Resolution Date: <br /> R$MARRS (in house) : <br />