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� � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ��� c.� l�e�n.e �. Permit No.: 2��7 '~ W��� <br /> Description of work: _ �(�'�T L�/11��--� Date Rec'd: 7 "�cr7'�� <br /> Se l�' �' �'Il• J�040 <br /> Septic review by: Date Approved: ~ <br /> Zoning review by: • Date Approved: �'2-ll/'�� <br /> Building review by: Date Approved: <br /> Grading review by: � , � u�War�� Date Approved: 7'�3� � ! <br /> Zoning District: t..t���� Zoning File#: � t�J�� <br /> Resolution? Yes Reso#: �Q1� Reso Date: 3'�3 ��1 . Signed: Yes No Resolution/ NA <br /> Zoning: Lot Area: ��_SF AC Width: Structural Coverage: _�SF _ ��% <br /> Survey Submitted: �es � No Date of Survey: �D 'Z-7'�1 Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: � No/ None proposed <br /> Pro osed Setbacks: <br /> F�(Lake) r(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> � Side Side <br /> `��I .. ) 4,�'-( '�e ��+ __.__' ryV�/ ' <br /> 7 �� � <br /> Buildinq Heiqht Analysis: <br /> Distance Between First Floor and defined Top of �a� ��4L <br /> Roof See "buildin hei ht" definition : <br /> First Floor Elevation from buildin lans : (b) �'��� <br /> Highest Existing ground level (per survey) or 10' <br /> above lowest round level, whichever is lower: ��� �J I <br /> Difference between b and c : (d) " , <br /> DEFINED HEIGHT If highest existing grade is: <br /> abeve F�E�-Heighf is(aj-(d) �e� �� `�� <br /> below FFE-Height is(a)+idl <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> �es 0 No Permit Number: 4� �o� �Yes � No 0 N/A � Ye No <br /> � � N/A—see attached <br /> �' /�Qf1tJ�.. Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and s % and s <br /> � ��J•OZ� �q':Oq?� Yes � No Yes 0 No <br /> / 1 J 2 3 4 5 Type(s): Ty e(s): <br /> �/ ?.1,��•2� Z3, Z�tc� 2 sF � - �O cticXaw <br /> �. of looac �►� <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />