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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �1 l�tJ �h���w�b� � Permit No.:7J✓�� ' �''�J�� <br /> Description of work: N� ��� Date Rec'd: ��7�� � � <br /> Septic review by: ��('�1��,4� �— � l� .�v��R�� a� D� a proved:�� <br /> Zoning review by: �� Date Approved: I�'� �� � <br /> Building review by: � Date Approved: 1Z � <br /> Grading review by: �G�`� �' � �d F�' ti1 Date Approved: � l� 2-����� / <br /> Zoning District: ��1� Zoning File#: � ����0 <br /> Resolution? � Reso#:� Reso Date: � ��' Signed: No Resolution/NA <br /> Zoning: Lot Area: •Z.� SF/� Width: 1� Structural Coverage:25��SF ��_% <br /> Survey Submitted: �Yes � No Date of Survey: � I GI�I�Revised date(?): �_ <br /> Landscape plan submitted? 0 Yes Landscaper: ITS J V��ti"J�l �/1't ��1UjV�-� 0 No/None proposed <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( bl S E W ) ( N • E W ) Other ildings We and <br /> Side �ide <br /> �' 2y• -1 • 'l • � <br /> � <br /> Buildin Hei ht Ana is: <br /> Distance Between First Floor and defined Top of Roof"` (See"building heighY' <br /> definition : �a� � � <br /> First Floor Elevation from buildin lans : (b) q 7• <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, �C� l��.tb <br /> whichever is lower: <br /> Difference between b and c ": (d) '2 :"�[�j <br /> DEFINED HEIGHT <br /> "If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) �G`�,'�r+ <br /> "If hi hest existin 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 0 No Permit Number: - Yes � No � N/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 /> � es � No � Yes No <br /> ( 1) 2 3 4 5 �- • � � ?�- �.�� Type�S�: Type�S�: <br /> v <br /> � <br /> � �� � � �� <br /> Updated: Jun�017 `,�' 1�� <br /> z:\forms�plan review checklist 06-2017.docx V `� <br />