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��S lY- 0000c�3 <br /> �LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: U�.�( �X..� �I �� �ermit No.: �J60 � wV�Y� <br /> / <br /> Description of work: Date Rec'd: T�`T'1 0 <br /> : <br /> Septic review by: JC/W Q,1� �- w(�l� Date Approved: <br /> Zoning review by: Date Approved: � '� �l <br /> Building review by: Date Approved: <br /> Grading review by: tt�l�l1'Vl CEl11Na�V�,�� Date Approved: 5 •Z '� � <br /> Zoning District: u Zoning File#: <br /> ResolutionT Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: LotArea: �� Y F AC Width: $t������SCoverage: SF % <br /> Survey Submitted: �'�'es 0 No Date of Survey: ��� ��� Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: � J Y I � No/None proposed <br /> Pro osed Setbacks: <br /> Front(La Rear(Str , � <br /> � ( N � E W ) (�I j S E W ) Other Buildings Wetland <br /> ide �J Side <br /> ?.fJ' 0 f ' $' 27� u�r,,v�. <br /> Buildin Hei ht Anal sis: 23� W�I'C�D�N w�l� <br /> Distance Befinreen First Floor and defined Top of Roof(See"building heighY' r <br /> definition : �a� �"1 �� <br /> First Floor Elevation from buildin lans : (b) �,(p <br /> Highest Existing ground level (per survey)or 10' above lowest ground level, ��� ��2�� <br /> whichever is lower: <br /> Difference between b and c ": (d) 2, �p <br /> DEFINED HEIGHT <br /> =1�k►i�►est-e�cisting adjac�nt_grade�s-above FFE.R-Heigiat�is-{a�.-{d�: (@) '� ( <br /> *If hi hest existin ad'acent rade is below FFE-Hei ht is a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> �Yes � No Permit Number: � � 2„ , 0 Yes � No N/A 0 Yes o <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 s % and s <br /> � ."7�O � Yes No 0 Yes No <br /> 1 2 Q 4 5 2�5� Type�s�. Type�S�. <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />