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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ��i! � ���IIN(�(� (L- ���// Permit No.: ���� `��� 7� � <br /> Description of work: Date Rec'd: <br /> Septic review by: , � � �l�P �Date Approved:m 1(� ` ��z`l� <br /> Zoning review by: --'" Date Approved: <br /> , <br /> Building review by: � �- Date Approved: <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: � Reso Date: S,i ned: Yes No Resolution/NA <br /> � <br /> i <br /> Zoning: Lot Area: SF/AC Width: �� Structural Coverage: SF % <br /> Survey Submitted � Yes �Q No Date of S�ey: Revised date(?): <br /> Landscape plan submitted? � Yes Landsc per: i � No/None proposed <br /> � <br /> Pro osed Setbacks: � % <br /> Front(Lake) Rear(Street) ( N S E W � ( N S E W ) Other Buildings Wetland <br /> Si e / Side <br /> / <br /> , <br /> i <br /> Buildinq Heipht Analvsis: ', j <br /> i ; <br /> Distance Between First Floor��d defined Top of � � � <br /> Roof See "buildin hei hY' d,e inition : a <br /> First Floor Elevation from b�iil �'n lans : (b) <br /> Highest Existing ground level (p�r survey) or 10' ��� <br /> above lowest round level, whiclnever is lower: <br /> Difference between b a d c : ' (d) <br /> DEFINED HEIGHT If highest eScisting grade is: �g� <br /> above FFE-Height is(a)-(d)/ <br /> below FFE-Height is(a)+(d) � <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> � Yes � No Permit Numb,er: 0 Yes � No 0 N/A � Ye 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 /> i <br /> 0 Yes � No 0 Yes � No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> f <br /> , <br /> Updated: October 2016 , <br /> v:\forms�plan review checklist 10-2016.docx ' <br />