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� �r-t- of- c��� ���c-v� T,�v� � r��i�l.o� pf.Gl�-�. <br /> PLAN REVIEW CHECKLIST FO NE STRUCT RES / ADDIT�ONS <br /> �S M�t1��►-e-1 <br /> Address: ' � '�� P�Q CZ�N Per�hit No.:�'�- '����� <br /> Description of work: �.L�GIIVI t fr'l O1 d�` Date Rec'd: _ �� ����" <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: �� /�e <br /> �,ht C� Q ,! <br /> �g-review by: ,� Date Approved: 7/r(�c//,� <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/ NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % <br /> Survey Submitted: 0 Yes � No Date of Survey: Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/ None proposed <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Buildin Hei ht Anal sis: ���� <br /> Distance Between First Floor a[�efined Top of Roof(See"building heighY' �a� � <br /> definition : <br /> First Floor Elevation from buildin lans : (b) <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, ��� <br /> whichever is lower: <br /> Difference between b c "`: �� (d) <br /> DEFINED HEIGHT <br /> "If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) <br /> "If hi hest existin ad'acent rade is below FFE-Hei ht is a + d <br /> Shoreland District MCWD Permit erage Lakeshore Setback g�uff <br /> Met? <br /> � Yes � No Permit Number: � Yes 0 No 0 N/A 0 Yes � No <br /> � N/A—se ttached 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 0 No 0 Yes � No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />