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, PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: Permit No.: �-�✓�� - OOL�3 <br /> Description of work: rv� �/1.� �j -�rQ(��yt �/'(',� Date Rec'd: 3'Z I '� ! <br /> Septic review by: J�� a-- �L I Date Approved: <br /> Zoning review by: Date Approved: �' � � <br /> Building review by: Date Approved: ! <br /> Grading review by: /�+� Date Approved: -- <br /> Zoning District: ��� Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution� <br /> Zoning: Lot Area: 'rJ 77Z SF/AC Width: Structural Coverage: ��`����SF O/ Z, % <br /> Surve Submitted: 0 Yes 0"No Dat of Surtr� �M �� � 1��1 ,j��veL' �� . <br /> y � y: Revised c�ate(.) <br /> Landscape plan submitted? � Yes Landscaper: 0 No/None proposed <br /> Pro osed Setbacks: � Si�:� <br /> � $4 <br /> Front(L e) Rear(S et) ( N S E ) ( N S � W ) Other Buildings Wetland <br /> A-v�- Side Side <br /> Z � i O, <br /> Buildinq Heiqht Analvsis: <br /> Distance Between First Floor and defjn�d Top of �a� <br /> Roofi`. See "buildin hei hY' defin�6n : <br /> First Floor Elevation from b�ritdin lans : (b) <br /> Highest Existing ground level (per survey) or 10' ��� <br /> above lowest rountl level, whichever is lower: <br /> Difference between b and c : (d) <br /> Defirfied Buildin Hei ht(a) -(d): �e� <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Yes � No Permit Number: ��- 0 Yes � No N/A � Ye No <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 /> Fj�rv� �C{�1 � Yes No � Yes No <br /> 1 2 �3 4 5 — <br /> P i�Y o'�v.i I t� � TYpe�S)� Type(s): <br /> .�-I 16i�� i I ,55�5 ��a s , <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />