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' � PLi�N REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: t ob0 �Pt r�h�tr�(��� Permit No.: 2��7 '��,'rj�� <br /> Description of work: Iv �-�i ml� Date Rec'd: ;�7 •�'�� <br /> Septic review by: Date Approved: �l <br /> Zoning review by: Date Approved: Q ' l ' � / <br /> Building review by: `' Date Approved: <br /> Grading review by: y-��. GU�u1�15� Date Approved: �'Z'� / �-'�i3�' <br /> Zoning District: '� 1' uA Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes '� o Resolution/NA <br /> Zoning: Lot Area: �S � S /AC Width: Structural Coverage: SF % <br /> Survey Submitted: �es � No Date of Survey: � • ZZ'� 1 Revised date(?): �'���, <br /> Landscape plan submitted? � Yes Landscaper: (��No/None propos <br /> �`�,..�...____�..� __ <br /> Pro osed Setbacks: /1J J� `+��`� ��"��`'' <br /> Front(L e) Rear(Str � ( N S E W <br /> ) ( N S E W � Other Buildings Wetland <br /> '�`rlt, ide Sid <br /> r �2 t �7 <br /> Buildinq Heiqht Analysis: <br /> ,J - Distance Between First Floor and defined Top of �a� ��� <br /> Roof See "buildin hei ht" definition : <br /> �Q ' � First Floor Elevation from buildin lans : (b)_ q�. <br /> ���i, ,�' Highest Existing ground level (per survey) or 10' ��� ��� <br /> Q''� � above lowest round level, whichever is lower: <br /> �"" Difference between b and c : (d) 2,2� <br /> DEFINED HEIGHT If highest existing grade is: (e� �( � '` ; <br /> --�-at�vQ FFE-Height is(a)-(d) ���`jt`�-�� <br /> below FFE-Height is(a)+(d) <br /> Average Lakeshore Setback g�uff <br /> Shoreland District MCWD Permit Met? <br /> Permit Number: (�� 3 0 Yes � No N/A � Yes <br /> es � No � No <br /> � N/A—see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and s % and s <br /> �.1�(� � Yes o � Yes No <br /> 1 2 � 4 5 � �,�Ro S f. Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />