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PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS <br /> Address: 2_. OmVr o V Yc,Kara ► ci ,Y 2O10 -Mi ff <br /> Description of work: i vivo rl l 31i C 3 of - 11 (014-4o <br /> Type of permit: (Axa. R Cr. atrvor) <br /> Zoning review by: _. (/r""LU„--Y ` Date Approved: 1 'I Z '1 (0 <br /> Grading review by: rE Date Approved: /,704., / h <br /> Other Review, Reviewed by: Date Approved: <br /> Zoning Information: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Lot Area: SF/AC Width: Depth: <br /> Survey Submitted? D Yes D No Date of Survey: 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(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff <br /> Yes D No D N/A // D Yes "Ko <br /> 0 Yeso D Yes D No "rN/A <br /> Permit Number: I(1) -312, Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> 0 Yes le<lo 0 Yes ,No <br /> Type(s): Type(s): <br /> File# File# <br /> Updated:January 2013 <br /> z:\forms\plan review checklist for zoning permit applications 2013.docx <br />