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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ��� cJ �b � ���ermit No.: �� 1 �* ���1 <br /> Description of work: �""vvV tTVYVY�� Date Rec'd: '� ' c,� ' � � <br /> •� y. R,�w' <br /> Septic review by: c�U/v�.1� �-- �� Date Approved: �~ 1 " <br /> Zoning review by: Date Approved: 12'T' <br /> Building review by: Date Approved: �� (,� � <br /> Grading review by: ----= Date Approved: ��/w✓�� <br /> Zoning District: �U� Zoning File#: ' <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution /NA <br /> fA'12. <br /> Zoning: Lot Area: � S /AC Width: Structural Coverage: �SF .Z� o <br /> Survey Submitted: Q'Yes � No Date of Survey: ���:�i ' � � Revised date(?): <br /> / <br /> Landscape plan submitted? 0 Yes Landscaper: � No/ None proposed <br /> Pro osed Setbacks: <br /> r <br /> Front e) Rear(S et) ( N S �E W� ( N S E 1�) Other Buildings Wetiand <br /> S�de Side <br /> .'�`� � j✓ � � � � ' � � <br /> Buildin Hei ht Anal sis: <br /> � Q Distance Between First Floor and defined Top of Roof*(See"building heighY' �a� �� <br /> � definition : <br /> \p,�� First Floor Elevation from buildin lans : (b) �' �, <br /> �\ � Highest Existing ground level (per survey) or 10' above lowest ground level, (�) ���/. <br /> � whichever is lower: d <br /> Difference befinreen b and c *: (d) -',, �.,.;� <br /> DEFINED HEIGHT <br /> . . . . . --�e+�+afa�---{�t}�--- �e� , � t.,� <br /> "If hi hest existin ad'acent rade is be/ow FFE-Hei ht is a + d '�'�t"'f <br /> Shoreland District MCWD Permit Average Lakeshore Setback gluff <br /> Met? <br /> �Yes p No Permit Number: (� — 0 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 s % and s <br /> f� Z,2•3�-J�f p � Yes No 0 Yes o <br /> 1 2 3 U 5 Type(s): Type(s): <br /> �tn73 S�' <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />