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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: C J� �Qf`UV `� �I �+ �v� � L�, g�1 Permit No.: �� �� �YJ <br /> Description of work: '`��/VV [�v V�✓� Date Rec'd: ���� � � b <br /> Septic review by: ,-��(/U� �-- W(,�� Date Approved: <br /> Zoning review by: Date Approved: J ' �� ' � <br /> Building review by: y Date Approved: � �3 � <br /> Grading review by: �� �dw ard�/c� Date Approved: J�' �0 <br /> Zoning District: 6�u.U�� � u� Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: l � � SF/AC Width: Struct�ur�al Coverage: � �JJ 31 SF '.��•✓ � % <br /> Survey Submitted: �es � No Date of Survey: Z`Z� �-- �� Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: Y� ,S�.�WV� 0 No/ None proposed <br /> Pro osed Setbacks: -�j' - C lld �`�=- <br /> Front(L e) Rear(St t) (� S E W ) ( N �S E W ) Other Buildings Wetland <br /> Side Side <br /> 7-�t �- '1 �d ' �7,�� <br /> Buildin Hei ht Anal sis: /\��w <br /> Distance Between First Floor and defined Top of Roof" (�� ��,�'� <br /> definition : � � , ��,� <br /> . <br /> First Floor Elevation from buildin lans : �� ',�; <br /> �� m <br /> Highest Existing ground level (per survey) or 10' above lowe: � � <br /> whichever is lower: .`c� ��✓� -��1 <br /> Difference between b and c *: �'�J � �.�� Z, �. <br /> DEFINED HEIGHT <br /> *I#�►igpes��isr. . . �.�e;qhr;s-(d�,-(8�.: �e� ;�� <br /> 'If hi hest existin ad'acent rade is below FFE-Hei ht is a + d �'��Z' <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Yes 0 No Permit Number: � �� � 7j� � Yes � 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 /> ^ _ �,�j�� � Yes No � Yes No <br /> 1 2 3 4 5 ���� G2n.,,� �� Type(s): Type(s): <br /> ?'�JIJ <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />