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. � ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: /% `7�� ��(�l/'r�'f d//l(� �'� (/f ; Permit No.: ��T� ����,�� <br /> Description of work: Date Rec'd: � � l <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: s No Resolution/NA <br /> Zoning: Lot Area: S /AC Width: Structur Coverage: SF % <br /> Survey Submitted: 0 Yes � No Date of Survey: Revised date � : <br /> Landscape plan submitted? � Yes Landscaper: � No/None proposed <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Buildin Hei ht Anal sis: <br /> Distance Befinreen First Floor and defined p of Roof (See"building heighY' �a� � <br /> definition : <br /> First Floor Elevation from buildin lans : (b) <br /> Highest Existing ground level (per survey) or 1 ' bove 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 FF -Height (a)-(d): (e� <br /> "If hi hest existin ad'acent rade is below FF -Hei ht i a + d <br /> Shoreland District MCWD P rmit Average Lakeshore Setback g�uff <br /> Met? <br /> � Yes � No Permit Number: 0 Yes 0 No 0 N/A 0 Yes � No <br /> 0 N/A—see attac ed Setback: <br /> Stormwater Quality Existi g Propo d <br /> Overlay District Tier Hardc ver Hardco r Variance Required CUP Required <br /> circle one % an s % and s <br /> � Yes 0 No � Yes � No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> ✓ <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />