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� � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: Z� `b V!� tk��'l�._ �. Permit No.: �-�.l�7 - Q�9""7/ <br /> Description of work: � Date Rec'd: ��'k7 '� / <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: ��� LZ � � <br /> Building review by: i�c�/� Date Approved: l �Z � <br /> w ' /� � �t�►GW <br /> Grading review by: 1�1 �f'� Ag,Q��p� Date Approved: "—' ����c5'�7 <br /> Zoning District: L�' Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/ NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % <br /> 5��-Q� / <br /> Sylac�-Sttbmitted: �f Yes � No Date of Survey: Revised date(?): <br /> / <br /> __ _. . __:,...-_w. <br /> Landscape plan submitted? � Yes Landscaper: o/None proposed_ <br /> �—--_ __ _ <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 (pe rvey) or 10' above lowest ground level, ��� <br /> whichever is lower: <br /> Difference befinreen and c *: (d) <br /> DEFINE�IGHT <br /> *If highest exist�ng adjacent grade is above FFE-Height is(a)-(d): (e) <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 p Na Permit Number: � Yes � No /A 0 Yes o <br /> /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 /> 0 Yes o 0 Yes o <br /> � 2 3 4 5 � I� Type�S�: Type�s�: <br /> L <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />