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' � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 1I1� �1���7 C„�I'� Permit No.: ��� ' 0�''L�� <br /> Description of work: N� �w Date Rec'd: ��• �'�� <br /> Septic review by: � � l Date Approved: <br /> Zoning review by: Date Approved: <br /> I 1�34 •�� <br /> Building review by: Date Approved: l z- � <br /> Grading review by: �,�,,{�(� Date Approved: ��• � 5 '��] <br /> Zoning District: '� Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution /NA <br /> Zoning: Lot Area: $1 F AC Width: Structural Coverage: SF % <br /> Survey Submitted: �0'�es 0 No Date of Survey: ��'2'�� Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: ��� ��11Vi� 01� �I�y�/ � No/None proposed <br /> � �/ <br /> Pro osed Setbacks: <br /> Front(L� Rear(Stre ( N S � W ) ( N S E �) Other Buildings Wetland <br /> Si e Side <br /> � �` ' S1 ' I��` <br /> Buildin Hei ht Anal sis: <br /> Distance Befinreen First Floor and defined Top of Roof"(See"building heighY' �a� I�.� <br /> definition : <br /> First Floor Elevation from buildin lans : (b) �,Z <br /> Highest Existing ground level (per survey)or 10' above lowest ground level, ��� ���r, <br /> whichever is lower: `'� <br /> Difference between b and c *: (d) Z � <br /> DEFINED HEIGHT <br /> "If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) I��� <br /> If hi hest existin ad'acent rade is below FFE-Hei ht is a + d 6 <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> �Yes � No Permit Number: l"� — �,� 0 Yes 0 No N/A � 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 s <br /> �,�`;G]d 0 Yes No 0 Yes No <br /> 1 2 � 4 5 y� ��,� S� Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />