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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � � c�1��. � Permit No.: ��� / " �� <br /> Description ofwork: �� l�, Date Rec'd: �'��'�� <br /> ,� � <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: '� '�� <br /> Building review by: Date Approved: / � �'"'��� I�� <br /> Grading review by: � Date Approved: �~ <br /> Zoning District: '�/i' Zoning File#: 'c:J"�d� <br /> Resolution? Yes Reso#:�Q� Reso Date:2'?i?•�� Signed: Yes No Resolution I NA <br /> Zoning: Lot Area: �• D SF AC Width: Structural Coverage: SF % <br /> Survey Submitted: � Yes � Date of Survey: I • �L��� Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/None proposed <br /> Pro osed Setbacks: <br /> �r � 5 <br /> Front(L�e) Rear(S�) ( N S �E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> 7L� Q� <br /> Buildinq Heiqht Analvsis: <br /> Distance Between First Floor and defined Top of �a� � <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: <br /> Difference between b and c : (d) <br /> Defined Buildin Hei ht (a -(d): �e� <br /> Average Lakeshore Setback � <br /> Shoreland District MCWD Permit Met? Bluff ' <br /> 0 Yes �fVo Permit Number: 0 Yes 0 No �A � Ye 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 /> 1 Yes 0 No � Yes 0 No <br /> 1 2 3 4 5 �� —�'" Type( :` T p s): <br /> ! � �� <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />