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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ��� J�r��� �• Permit No.: liJt 1 "���� <br /> Description of work: �/�1��(�J�' ����Go� T ���� 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: i`'�,� Date Approved: <br /> Zoning District: ��!"'� Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: . Z SF AC Width: Structural Coverage: SF % <br /> Survey Submitted: 0 Yes �o Date of Survey: Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: � No/ ne propose <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� (See"building heighY' � � � <br /> definition : a <br /> First Floor Elevation from buildin I (b) / <br /> Highest Existing ground level er survey)or 10' above lowest ground level, ��� <br /> whichever is lower: <br /> Difference between and c ": (d) <br /> DEFINE EIGHT <br /> 'If hig t existing adjacent grade is above FFE-Height is(a)-(d): <br /> 'If ' hest existin ad'acent rade is below FFE-Hei ht is a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback gluff <br /> Met? <br /> �Yes � No Permit Number: � Yes 0 No � N/A 0 Yes � No <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 /> � O Yes � No � Yes � No <br /> / 1 I 2 3 4 5 Type(s): Type(s): <br /> l./ <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />