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CHECK OFFLIST FIR ISSUANCE <br /> SSU NCCLEYOF PERMITFOR 7 <br /> ADDRESS OR LEGAL: 9qa M® S 9-09j OX IN • PID: <br /> DESCRIPTION OF WORK: Cow <br /> ------------- ----------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: b''! 7r <br /> BUILDING REVIEW BY: DATE APPROVED: 4-/7-V <br /> -------------------- A------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes &/ No <br /> PLAN REVIEW Yes 1/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes +l**" No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARR FEE <br /> SAC Yes NoSITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------- <br /> ZONING CHECK LIST Zo ing District: <br /> Fire Department: P t Of is School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: S�- 2�C/O <br /> Proposed Setbacks: �} <br /> Front f�}ee�1 : S 1 Right Side: t7� <br /> Rear (S4�-moi : N Left Side: ( C(O ' 4' <br /> Adjacent Structures : A -r7*ufcJ) Wetland: AIX <br /> Building Height: Def. Hgt. AJIA Peak Hgt. <br /> Avg. Setback: AIM 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 Da e: A Council Approval Date: <br /> Septic: Staff Approval D e By: <br /> Zoning File:# Res lut on Resolution Date:__ <br /> RRMARKS (in house) <br />