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� Plan Review Checklist for Zoning Permit Applications <br /> �G--, k f � v,4r1 ,� . <br /> Address: �/l,,JJ � V� t"I l �� �'��- a� <br /> Description of work: ( ' � �^ t � �� � '�l'`�-' <br /> Type of permit: <br /> Zoning review by: ,— Date Approved: <br /> Grading review by: ���L� `��:� ;, l�'��;�"��.i��-' Date Approved: <br /> Other Review, Reviewed by: Date Approved: <br /> Zonin : <br /> Zoning File#: Resolution #: Resolution Date: <br /> Lot Area: SF/AC Width: Depth: <br /> Survey Submitte ? YYes r � No Date of Survey: <br /> ��� <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(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> � <br /> Sho land District MCWD Permit Received Average Lakeshore Setback Met? Bluff <br /> � Yes 0 No 0 N/A t'' � Yes 0 No <br /> Yes ❑ No 0 Yes 0 No N/A <br /> Permit Number: /� Setback: <br /> Hardcover Zones Existin Pro osed Variance Required CUP Required <br /> 0-75' 0 Yes ❑ No � Yes � No <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 />