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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �� C�.)IlS�L1 V Yv WV� 1� Permit No.: ��p ���� <br /> Description of work: ��Yf'�(11'�;���'1�" Jl�� Date Rec'd: 2� ��0 <br /> Septic review by: ^ Date Approved: "'--" <br /> Zoning review by: Date Approved: 2 '"7 '��_ <br /> Building review by: --C� Date Approved: `" l <br /> Grading review by: .�� Date Approved: —� <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % <br /> Survey Submitted� Yes 0 No Date of Survey: _ Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: 1 V T� � No/None proposed <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Buildin Hei ht Anal sis: <br /> Distance Between First Floor and defined Top of Roof*(See"building height" �a� � <br /> definition : <br /> First Floor Elevation from buildin lans : (b) <br /> Highest Existing ground level (per surv or 10' above lowest ground level, ��� <br /> whichever is lower: <br /> Difference between b and � (d) <br /> DEFINED HEI <br /> "If highest e ' mg adjacent grade is above FFE-Height is(a)-(d): (g) <br /> 'If hi hest xistin 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: � Yes � No /A � 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 /> N �� � Yes No 0 Yes 0 No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />