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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: l!1"�J� i'�i�h.urs�- ��� Permit No.: �«� (��� � <br /> Description of work: N �M/ �Y'�� Date Rec'd: � 'Z � � g <br /> Septic review by: � Date Approved: Z � <br /> Zoning review by: Date Approved: Z '� �Vb <br /> Building review by: � Date Approved: � � <br /> Grading review by: �1�'� �w�l�! �i1M Date Approved: 2--', '�� <br /> Zoning District: ��_ Zoning File#: <br /> Resolution? Yes Reso#: Reso Date:T Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: S /A�� Width: Structural Coverage: ��SF % <br /> Survey Submitted: �Yes 0 No Date of Survey: `'L ' �� Revised date(?): <br /> Landscape plan submitted? �s Landscaper: i���� 0 No/None proposed <br /> Pro osed Setbacks: <br /> � Front�(�) R� St� ( � S E W ) ( N �S E W ) Other Buildings Wetland <br /> Side Side <br /> � ' � ' d�acac. t 2' L <br /> Buildin Hei ht Anal sis: <br /> - ' Distance Between First Floor and defined Top of Roof* (See"building heighY' <br /> pa�"`���� definition : �a� � J <br /> � ' <br /> ��� G, -First Floor Elevation from buildin lans : (b) �(.p. <br /> ��0� ` <br /> Highest Existing ground level (per survey)or 10' above lowest ground level, ��) a��� <br /> � whichever is lower: <br /> Difference between b and c *: (d) � , � <br /> DEFINED HEIGHT <br /> "I##ri es�ext ' -- - _ ,-_-.-.---�. <br /> g�► �acen�grade i§-a6ov���=�fieigTif�s(a)-(d)-' (g) �I ( „ <br /> "!f hi hest existin ad'acent rade is below FFE-Hei ht is a + d �lJ <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> � Yes �No Permit Number: ����� O Yes 0 No /A 0 Yes No <br /> 0 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 sf <br /> 0 Yes o � Yes o <br /> 1 2 3 4 5 �-- Gy�,�/y�� TYpe(s): TYpe(s): <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br /> I <br />