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' 'PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �Y ��� Permit No.: �l7 ^��� <br /> Description of work: J�� � S� Date Rec'd: �r" � "1 ! <br /> / <br /> Septic review by: 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/NA <br /> Zoning: Lot Area: �� AC Width: Structural Coverage: SF % <br /> Survey Submitted: �s 0 No Date of Survey: 6'� �� Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: � No/None proposed <br /> Pro osed Setbacks: <br /> CFront(L ) Rear(S et) ( N S E W ) ( N S E �) Other Buildings Wetland <br /> Si� Side <br /> Buildinq Heiqht Analvsis: <br /> Distance Between First Floor and defined Top of �a� � <br /> Roof See "buildin hei hY' 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 /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Yes � No Permit Number: '1,.. �� 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 /> (�."� U 14:3taj0 � Yes � No 0 Yes � No <br /> 1 2 � 4 5 ��� �S� � 1.r5�Q ST TYPe�s)� TYPe�S)� <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />