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PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS <br /> 2Q►co -d�14� <br /> Address: I�UJ ��� ���-' �• q•uQ•�� <br /> Description of work: ����V,�� ���� �nQ� ���'��, � <br /> Type of permit: _ SCC1)S <br /> Zoning review by: ����Y�"'� Date Approved: �� '��' ��y <br /> Grading review by: ��' Date Approved: <br /> Other Review, Reviewed by: Date Approved: <br /> Zonin Information: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Lot Area: �� �L�/ S / C Width: Depth: <br /> a <br /> Survey Submitted? es 0 No Date of Survey: n �I �' ^ Revision date: <br /> `1 w <br /> Existin 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(L e) Rear(S et) l N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br />��ho I 3 a` ¢�L' <br /> wall ��" �3' <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff <br /> es � No 0 N/A 0 Yes No <br /> �Yes 0 No � Yes 0 No V' \./A <br /> Permit Number: �(P -�3� Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> I il, Y�� 1 q.l.�,Q16 � Yes No � Yes No <br /> � �� TYPe�s)� TYPe(S)� <br /> 3 �U���QJ ��� 6�� S � File# File# <br /> Updated:January 2013 <br /> z:\forms�plan review checklist for zoning permit applications 2013.docx <br />