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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 115b .�ine V�t�/ �• Permit No.: ��7� Qb�T$,Z. <br /> Description of work: �� �w Date Rec'd: �•�Z. '�� <br /> Septic review by: l I Date Approved: <br /> Zoning review by: Date Approved: � � '� 7 <br /> Building review by: Date Approved: �� � <br /> Grading review by: ,f+�f�l(�� ���.�►(K.� Date Approved: ' �Z �� / <br /> Zoning District: �'=� Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: �v 1 SF AC Width: Structural Coverage: �V� SF % <br /> Survey Submitted: �'�'es � No Date of Survey: �1.� '� � Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: � � � No/None proposed <br /> Pro osed Setbacks: u��� � <br /> Front(L� Rear(Stre ( N S � W ) ( N S E �W ) Other Buildings Wetland <br /> / Side Side <br /> �i ' g' ��' 30 <br /> Buildinq Heiqht Analysis: <br /> Distance Between First Floor and defined Top of � �a� Z�p�� <br /> Roo�` See "buildin hei hY' definition : <br /> First Floor Elevation from buildin lans : (b) i;, , 1 <br /> Highest Existing ground level (per survey) or 10' (c) (b��b <br /> above lowest round level, whichever is lower: <br /> Difference between b and c : (d) , <br /> Defined Buildin Hei ht a d : �e� ,�j�.� <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> 0 Yes No Permit Number: ,Z� 0 Yes � No �N/A � Ye No <br /> 0 N/A—see attached Setback: <br /> t <br /> Stormwater Quality Existing Pro�osed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and s % and s <br /> 1 2 3 4 5 �iX � ,,,�� 0 Yes No � Yes o <br /> �.� Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />