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i <br /> ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � �V P 1 v��k�T f'�'V� Permit No.: 2���[/ •�(�t�1 � <br /> Description of work: 3 'SQ.a.j�n ��(.i�1 Date Rec'd: � � 'Zq•�� <br /> Septic review by: �- C�-� Date Approved: <br /> Zoning review by: ��� r�� ,f Date Approved: ' Z-�'� � <br /> �.. ��d" � z�f /r <br /> Building review by: Date Approved: <br /> Grading review by: � �r (� Date Approved: Z "�" �� J�� <br /> Zoning District: "(� Zoning File#: � " <br /> Resolution? Yes Reso#:�� Reso Date: Z'�c3 '� / Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: F AC Width: Structural Coverage: �(�fsF a,��% <br /> Survey Submitted: �Yes 0 No Date of Survey: �ff'�J • (�j Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: �TidYl 0 N None proposed <br /> � <br /> Pro osed Setbacks: p`$��- ' �p'Sj�,, <br /> �(6� �� �(3bl.l ta�3t' <br /> F nt( e) Rear(S et) ( N S E �) ( N �S E W ) Other Buildings Wetland <br /> Side -5ide <br /> I�� � (�� <br /> Buildinq Heiaht Analvsis: <br /> Distance Between First Floor and defined Top of � � �� <br /> Roof See "buildin hei hY' definition : a _ � <br /> First Floor �levation from build� lans : (b) S� <br /> Highest Existing ground el (per survey) or 10' ��� � <br /> above lowest rour,�h'�evel, whichever is lower: ��� � <br /> Difference be�ween b and c : (d) , �� <br /> :.: �,�� , <br /> 'F� '(e) <br /> Defirred Buildin Hei ht a -(d : � �� —s' <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Permit Number: 0 Yes 0 No N/A 0 Yes <br /> � Yes � No No <br /> �/ � /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 /> �(�.� �Z,G� Yes � No 0 Yes No <br /> 1 2 3 4 5 �(� S� nG�S� Type(s): Type(s): <br /> �! S <br /> �� ��L <br /> Updated: October 2016 val��`� <br /> v:\forms�plan review checklist 10-2016.docx <br />