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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: J � Permit No.: ���`' � «�P� <br /> Description of work: �(Q /Q'� y"cP�2�2i`� Date Rec'd: <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: <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: S /AC Width: Structural Coverage: SF % <br /> Survey Submitted: � Yes � No Date of Survey: Revised date(?): <br /> Landscape plan submitted? 0 Ye 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 defi ed Top of Roof*( ee"building heighY' �a� � <br /> definition : <br /> First Floor Elevation from buildin la s : , (b) <br /> Highest Existing ground level (per surv y)or 10'ab e 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 F E-Height is(a)-(d): (e) <br /> *If hi hest existin ad'acent rade is below F Hei ht is a + d <br /> Shoreland District MCWD Pe m t Average Lakeshore Setback g�uff <br /> Met? <br /> � Yes � No Permit Number: � 0 Yes 0 No 0 N/A � Yes � No <br /> � N/A—see attach�d Setback: � <br /> Stormwater Quality Existin,g Proposed � <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required ' <br /> circle one % and s % and s �i <br /> 0 Yes � No � Yes � No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> , <br /> l <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />