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• PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 2`�`�� ��ta�Y�� Permit No.: 2���^ ��2-pZ <br /> Description of work: �ljh ,� i°D(Q'Cl°�Vt�'vt'� r- (NlOuJµt�KF Date Rec'd: "'7 2��ig <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: z-� 2 6�jg <br /> Building review by: i -fa � Date Approved: � � <br /> / <br /> Grading review by: Date Approved: <br /> Zoning District: 6� l Zoning File#: �7��q'?�-/ ; <br /> z <br /> Resolution? Ye Reso#:(x/�:6 Reso Date: Signed: � No Resolution/NA ' <br /> � <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % � <br /> Survey Submitted: 0 Yes �No Date of Survey: Revised date(?): ' <br /> i <br /> Landscape plan submitted? 0 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 Wetland <br /> Side Side <br /> Buildin Hei ht Anal sis: <br /> Distance Between First Floor and defined Top of Roof*(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 between b and c ": (d) <br /> DEFINED HEIGHT <br /> "If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) <br /> *!f hi hest existin ad'acent rade is below FFE-Hei hf is a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> � Yes 0 No Permit Number: � Yes � No 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 0 No � Yes � No <br /> 1 2 3 4 5 T pe(s : Type(s): <br /> e f��L <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />