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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE nONLY <br /> ADDRESS OR LEGAL: (p OC.0 C4VJA &d/i Q!Y PID: <br /> DESCRIPTION OF WORK: LLlf L <br /> ---------------------- --- ----------- -------------_----- <br /> ZONING REVIEW BY: DATE APPROVED <br /> BUILDING REVIEW BY: /Ul/�- DATE APPROVED: <br /> ------ ------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> � --&(Z1�(0�� <br /> PERMIT Yes Ng o <br /> PLAN REVIEW Yes Nowt SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No p1,. SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------- --------- <br /> ZONING CHECK LIST Zonin District: <br /> Fire Department: Post Office: Sc o 1 District: _ <br /> Lot Area : Width: Dep h: <br /> Survey Submitted: Yes No Date o Survey: <br /> Proposed Setback <br /> Front (Lake Right Side: <br /> Rear (Stree ) : Left ide: <br /> Adjacent S ruct res : W tland: <br /> Building Height Def Hgt. Peak H t. <br /> Avg. Setback: Lot overage: <br /> Existing P oposed <br /> Hardcover: 0-7 ' <br /> 75-25 ' <br /> 250-5 0 ' <br /> 500-10 0 ' <br /> Hardcover Var ance Required: Ye No Date of ouncil Approval: <br /> Grading: Staf Approval at By: Cou cil Approval Date: <br /> Septic: Staff Approval Da By: <br /> Zoning File• # Resolut n # : Resolution Date: <br /> REMARKS (in house) : <br />