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� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ��J� �(��- V 1 Wv �, PermitNo.: ��7 —0��� <br /> Description of work: 1 V Q� t 1�V i'IJYv--� Date Rec'd: 5 '� 2' �� <br /> Septic review by: Date Approved:--�7_ � <br /> Zoning review by: --� Date Approved: <br /> / " , 9 <br /> Building review by: ;' �' � ' '� Date Approved: � / � � <br /> Grading review by: � Date Approved: l✓�-�d c_ /�— <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/N <br /> Zoning: Lot Area: 2-•�7 SF/�C Width: Structural Coverage: /v�' SF % <br /> Survey Submitted: �es � No Date of Survey: �'3 '� � Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: ' � No/None proposed <br /> Pro osed Setbacks: ���� � �� <br /> Front( e) Rear(S�t) ( N S � W ) ( N S E �) Other Buildings Wetland <br /> Si e Side <br /> 15 ' t'LY � 3�' <br /> c,u` c�'d`�. S� <br /> Bui in Hei ht Anal is: <br /> Distance Between F � <br /> Roof* See "buildin ��• �a� 2-�Q�15 <br /> First Floor Elevation � -cc(�`� � (b) �p -?, t' <br /> y ^�r�" <br /> Highest Existing grou� ` S (c) <br /> above lowest round I ._.�� �s lower: <br /> Difference between b and c : (d) 3,� <br /> DEFINED HEIGHT If highest existing grade is: , <br /> above FFE-Height is(a)-ld) �e� ,� '�� <br /> �-"below FFE-Height is(a)+ id).4� <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> 0 Yes �No Permit Number: �"� . Z� � Yes � No N/A � Ye 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 /> � Yes o 0 Yes o <br /> 1 2 3 4 5 ���Q/M TYPe(S). TYpe(s). <br /> v/r � <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />