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• PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS <br /> Address: 1D3 1►V i yu LG <br /> Description of work: zoo sr. ) c StrUalikc. <br /> Type of permit: <br /> Zoning review by: C Date Approved: I I• E 0 •I `Q <br /> Grading review by: f\)rt Date Approved: <br /> Other Review, Reviewed by: Date Approved: <br /> Zoning Information: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Lot Area: ,{_�`— 2f. (DAC Width: Depth: <br /> 1 LI <br /> Survey Submitted?,Yes D No Date of Survey: 11 . . Lc/ ao Revision date: <br /> Existing Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Proposed Setbacks: <br /> Front(Lake) Rear(S et) ( O S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> 15 ' -5 ' <br /> Shoreland District MCWD Permit Receive Average Lakeshore Setback Met? Bluff <br /> D Yes 0 No N/A 0 Yes „.,...12r/No <br /> /Yes 0 No 0 Yes 0 No /A <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> IY�J <br /> r a0Lf. <br /> 0 Yes 0 Yes o <br /> 2— Q Type(s): Type(s): <br /> ��• ` File# File# <br /> Updated:January 2013 <br /> z:\forms\plan review checklist for zoning permit applications 2013.docx <br />