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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �� I v�bt �vc � Permit No.: �J L � '��� � <br /> Description of work: � � �1�(A�� �� ►� Date Rec'd: �'�! ��� <br /> 0 <br /> Septic review by:__ ,?GlV�,I 4- �QT�1' Date Approved: �� <br /> Zoning review by: Date Approved: �� 1�� U <br /> Building review by: Date Approved: z-- <br /> Grading review by: N � Date Approved: �-' <br /> Zoning District: -�U Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Si ned: Yes <br /> g No Resolution/NA <br /> a / <br /> Zoning: Lot Area: � 1 � SF AC Width: �� Structural Coverage: SF % <br /> Survey Submitted: �Yes � No Date of Survey: �'�' � a Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: � No en proposed <br /> Pro osed Setbacks: <br /> F nt(Lake) R�Street) ( N S � W ) ( N S E W ) Other Buildings Wetland <br /> Si e Side <br /> Ca- N � <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) c� -'' . � <br /> Highest Existing ground level (per survey)or 10'above lowest ground level, � � ���t j� <br /> whichever is lower: � ✓' <br /> Difference between b and c "`: (d) ', F <br /> DEFINED HEIGHT <br /> •���st. . . �e� �' . <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 /> �es 0 No Permit Number: Yes 0 No 0 N/A 0 Yes 0 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 No <br /> 1 2 3 4 5 h t ype(s): Type(s): <br /> l`,� ,7 `/ T <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />