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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: VI�Wt Y W�t/' Permit No.: LkJIN � W�VJ� <br /> Description of work: � Date Rec'd: ���J"�� <br /> Septic review by: ��CNy� �-- waT�' Date Approved: <br /> Zoning review by: Date Approved: 2'�T• 0 <br /> Building review by: Date Approved: Z � l <br /> Grading review by: IV � 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 � No Date of Survey: Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: 0 No/ None proposed <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetiand <br /> Side Side <br /> Buildin Hei ht Anal sis: <br /> Distance Between First Floor and defined Top of Roo�`(See"building heighY' �a� � <br /> definition : <br /> First Floor Elevation from buildin lans : (b) <br /> Highest Existing ground level (per survey)or 10' above lowest ground level, ��� <br /> whichever is lower: <br /> Difference befinreen b and c *: (d) <br /> DEFINED HEIGHT <br /> "If highest existing adjacent grade is above FFE-Height is(a)-(d): (g) <br /> 'If hi hest existin ad'acent rade is below FFE-Hei ht is a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> � Yes � No Permit Number: � Yes � No 0 N/A � Yes � No <br /> � 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 /> � Yes � No � Yes 0 No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-20'7.docx <br />