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PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS <br /> Address: __ �Q"L ��� � I� ��✓ "W"f`t'1 <br /> Description of work: 1' '�W '�5 <br /> Type of permit: <br /> Zoning review by: ��S Date Approved: ' Z ' <br /> Grading review by: � Date Approved: ' Z' <br /> Other Review, Reviewed by: Date Approved: � <br /> Zonin Information: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Lot Area: SF/AC Width: Depth: <br /> Survey Submitted? Yes � No Date of Surv y: Revision date: <br /> e,c'd -7 - <br /> Existing Setbacks: <br /> Front (Lake) Rear(Street) ( N S E W ) ( N � Wetland <br /> Side <br /> 1J�°- �� <br /> � � <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) � � Vetland <br /> Side <br /> � <br /> Shoreland District MCWD Permit Received Avei <br /> Yes � No � N/A No <br /> �Yes � No 0 Y, _ <br /> Permit Number: �j - �� <br /> Stormwater Quality Existing Proposed Variai _ ��equired CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> 3-�-1-� � S �-1 /��O S � Yes No 0 Yes No <br /> �y Type(s): Type(s): <br /> � I�.13�1� <br /> ��•���� File# File# <br /> Updated:January 2013 <br /> z:\forms\old stufflplan review checklist for zoning permit applications 2013.docx <br /> . <br /> _ _ _ ; _ <br /> . <br />