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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: .��� �CP�'lf�� �ll�/''/I/�C-'� Permit No.: �( ?`�L ��.5 <br /> - Description of work: Date Rec'd: <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: � Date Approved: � v <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: SF/A Width: Structural Coverage: SF % <br /> Survey Submitted: � Yes � o Date of Survey: Revised date ? : <br /> ',� <br /> Landscape plan submitted? � Yes Lant�scaper: 0 No/None proposed <br /> � <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( S E W ) Other Buildings Wetland <br /> Sid Side <br /> Buildin Hei ht Anal sis: <br /> Distance Between First Floor and defined Top of of"` (See"building heighY' �a� � <br /> definition : <br /> First Floor Elevation from buildin lans : �b) <br /> Highest Existing ground level (per survey) 10' abo lowest ground level, ��� <br /> whichever is lower: <br /> Difference between b and c ": �d) <br /> DEFINED HEIGHT <br /> *!f highest existing adjacent grade is a ve FFE-Height is(a) (d): (e) <br /> "'If hi hest existin ad'acent rade is elow FFE-Hei ht is a d <br /> r <br /> Shoreland District CWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> 0 Yes 0 No Permit N � ber: Yes 0 No � N/A 0 Yes � No <br /> � 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 /> O Yes � No 0 Yes � No <br /> 1 2 3 4 pe(s): Type(s): <br /> i <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />