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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ��� ��� ��� Permit No.: �l7 �Vu��v9 <br /> Description of work: _ �1K�.�.. Date Rec'd: �(V"�7 <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: '`L �� <br /> Building review by: � Date Approved: � � C <br /> Grading review by: i v Date Approved: '��~ <br /> Zoning District: �� Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolutio /NA <br /> Zoning: Lot Area: -3• SF/AC Width: Structural Coverage: _�SF _�% <br /> Survey Submitted: 0 Yes '�No Date of Su ey: Revised date ? : <br /> � ~ Parh�ai �nn t <br /> Landscape plan submitted? 0 Yes Landscaper: � 0 No/None proposed <br /> Proposed Setbacks: <br /> Front(L e) Rear(S�) ( N�S E W� (� S E W� Other Buildings Wetland <br /> `-Side Side <br /> � � <br /> Buildinq Heiqht Analysis: �,1j��1�Y`'' <br /> Distance Between First Floor and defined T of �a� � <br /> Roof See "buildin hei ht" definitio : <br /> First Floor Elevati �" -- ����� ' n nlans): (b) <br /> Highest Existing � �i�� � � J � ) <br /> above lowest rc � � <br /> Difference b e /��/ /,A „ „/ � (d) <br /> l, l,N�( <br /> Defin d Buildir ��l� ,,,,/ j �e� <br /> l�l.�(��! �/'/IZ�T+ <br /> � - <br /> Shoreland District MCWD Permit �►verage Lakeshore Setback g�uff <br /> Met? <br /> � Yes �Na Permit Number: � Yes � No N/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 /> 0 Yes No � Yes No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />