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� � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � J U w Permit No.: �� 1 ��d�� <br /> Description of work: �` 1"'�/IN�`-�" Date Rec'd: �' �"l '�7 <br /> Septic review by: SQan�e,r �- Wa� Date Approved: �~ <br /> Zoning review by: Date Approved: Ur 'L� '� <br /> Building review by: Date Approved: 7 l <br /> Grading review by: ��1 V� � `✓) Date Approved: �" Zi-1 '�7 <br /> Zoning District: � Zoning File#: � � 0�!�S �11'�� rw�^ <br /> Resolution? Yes Reso#:�� Reso Date: Signed: Yes No Resolution/NA � <br /> Zoning: Lot Area: � SF AC Width: Structural Coverage: �Cx. � � % <br /> Survey Submitted: �s 0 No Date of Survey: � '�� '� � Revised date(?):(0'�'17 ��'1�0�t� <br /> Landscape plan submitted? 0 Yes Landscaper: �� � �1UI ) � No/None proposed <br /> Pro osed Setbacks: qq Zp � .�•Y 6� �' � (�,� a 2 � 1����� <br /> Front(L� Rear(S� (� S E W 1 ( N�S E W� Other Buildings Wetland <br /> � Side `-Side <br /> Zp 5 ' 7 � � <br /> Buildinq Heiqht Analvsis: <br /> Distance Between First Floor and defined Top of � � <br /> Roof See "buildin hei hY' definition : �a� `=��:.--_ <br /> First Fioor Elevation from buildin lans : (b) �".� �� .� ;� <br /> , Highest Existing ground level (per survey) or 10' �c) r 4.,.� <br /> above lowest round level, whichever is lower: �� � <br /> Difference between b and c : (d) ,1.-'. <br /> Defined Buildin Hei ht a) -(d : �e� �. -_ <br /> Average Lakeshore Setback <br /> Shoreland District MCWD Permit Met? Bluff <br /> Yes 0 No � Yes � No N/A � Ye No <br /> Permit Number: � �31 <br /> � N/A—see attached Setback: <br /> Stormwater Quality Existing � oposed <br /> Overlay District Tier Hardcover �rdcover Variance Required CUP Required <br /> circle one % and s � /o and s <br /> . � Yes No O Yes No <br /> 1 2 3 4 5 ----� Type(s): Type(s): <br /> S�- �' ��UI a �g.�5�J0 <br /> Updated: October 2016 ����'� �^�� r� <br /> v:\forms\plan review checklist 10-2016.docx �� �v <br />