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� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> ���� - <br /> Address: ,,�� c11 11U� ' Permit No.: ��1 "���7' <br /> Description of work: Date Rec'd: �� 'Q '�� <br /> Septic review by: •-�'—" Date Approved: �'� <br /> Zoning review by: Date Approved: � ' �J '� ( <br /> Building review by: � Date Approved: 7� � � <br /> Grading review by: �""—"'� Date Approved: "��~ <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF °/a <br /> �S�vg�jr�ubm tted: � Yes � No Date of Survey: Revised date(?): <br /> Landscape plan submitted? O Yes Landscaper: � � 0 No/ None proposed <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W j Other Buildings Wetland <br /> Side Side <br /> Buildin Hei ht Anal sis: <br /> Distance Between First Floor and defined Top of Roof"`(See"building height" �a� <br /> definition : <br /> First Floor Elevation from buildin ans : (b) <br /> Highest Existing ground I�euCC�(per survey)or 10' above lowest ground level, ��� <br /> whichever is lower: >� <br /> Difference betweefi`�b and c *: (d) <br /> DEF1� HEIGHT <br /> 'If ghest existing adjacent grade is above FFE-Height is(a)-(d): ( <br /> f hi hest existin ad'acent rade is below FFE-Hei ht is a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes p No Permit Number: �- 0 Yes � No N/A 0 Yes o <br /> � 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 /> � Yes No � Yes No <br /> 1 2 3 4 5 �_�.�-�•.�-,-_.",�°`�J�. Type(s): Type(s): <br /> T� <br /> Updated: June 2017 <br /> z:\fortns�plan review checklist 06-2017.docx <br />