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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �� h�I 1 ��v� Permit No.: �� / —d�Q�T" <br /> Description of work: ��t/IIV ��Y� Date Rec'd: �5�� I <br /> Septic review by: �C/YY�.{� �vVaTW Date Approved: <br /> Zoning review by: Date Approved: "[ '�1 ' � / <br /> Buiiding review by: Date Approved: � � <br /> Grading review by: �� �V,Q�W.J Date Approved: `1'LZ'�7 <br /> Zoning District: '��� ����'� Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/ NA <br /> �1 <br /> .-� <br /> Zoning: Lot Area:� '1 ��i S /AC Width:�Y``C�� Structural Cove�age: ��� `�SF __`��� , % <br /> Surve Submitted: �s � No Date of Surve <br /> y , y: �'3V '� Revised date(?): �i�' � '� i <br /> Landscape plan submitted? O Yes Landscaper: � . ✓� ���J y'� � 0 No/ f�on�opo�ed <br /> Pro osed Setbacks: <br /> � �� a� �"� <br /> VFront(L e Rear(S et) ( N S ) ( N S 9 W1) Other Buildings Wetland <br /> Si� Side`�"� <br /> � � � �Z, � � <br /> Buildin Hei ht Anal sis: <br /> Distance Between First Floor and defined Top of Roof* (See"building height" <br /> definition : �a� Z�.P��j� <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: � � 1�,��— <br /> Difference between b and c "': (d) 2, <br /> DEFINED HEIGHT <br /> *lf-�►ighes�exi ' ' is�ebw�-:r�=�-lerght Is�`�'dj--� (e) 2`�,� <br /> If hi hest existin ad'acent rade is belaw FFE-Hei ht is a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes � No Permit Number: '� . � Yes � No N/A � Yes 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 sf °/a and sf <br /> .��`a � Yes No � Yes o <br /> 1 2 3 4 5 --�' �� Type(s): Type(s): <br /> SF . <br /> � '1`�' : 13'1�— f�a��f 9'�2�6�1 IZ�L <br /> . � ��i �J L:� 1 l�5 0 <br /> C ` �:, �<:. �; 7 , �. . I�o I �I <br /> �- <br /> ' ` ' Px�= t2�-1� 2 <br /> Updated: June 2017 � �� D ��`'. <br /> z:\forms\planreviewchecklist06-2017.docx r���� ���� �('y,�'�.\. Ib ��, � �/1 (�� <br /> � � ( "J o�� ���-1 <br />