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� Plan Review Checklist for Zoning Permit Applications <br /> Address: � ,"� <br /> Description of work: t� �, r� d r�v ^ <br /> Type of permit: VV (I�� � ��V"'c� ��1�11 1/l�a �� <br /> r�if'VI(�v1� GO�LGhP f�i �(,��"la � � <br /> Zoning review by: Date Approved: <br /> Grading review by: � ��'1 Date Approved: g'uQ'�� <br /> Other Review, Reviewed by: Date Approved: <br /> Zonin : <br /> Zoning File#: Resolution#: Resolution Date: <br /> Lot Area: SF/AC Width: Depth: <br /> Survey Submitted? es 0 No Date of Survey� <br /> g• �3� ► <br /> Existin Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Shoreland District CWD Permit Received Average Lakeshore Setback Met? Bluff <br /> Yes � No � N/A � Yes No <br /> �Yes ❑ No � Yes � No �N/A <br /> Permit Number: � Setback: <br /> Hardcover Zones Existin Proposed Variance Requi ed CUP Required <br /> 0-75' ?a.ZS�� ❑ Yes No ❑ Yes No <br /> � ZZ alo s � t7s a�. <br /> 75-250' Type(s): Type(s): <br /> 250-500' Zoning File#: Zoning File#: <br /> 500-1000' Resolution#: Resolution#: <br /> Created: March 29,2011 <br /> z:\forms\plan review checklist for zoning permit applications.docx <br />