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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES,// ADDITIONS <br /> Address: L2 f11/\ \ fJ) (' Permit No.: RI -SI U -1000013-3 <br /> Description of work: [QZ. % paseuly atICIUX---* Date Rec'd: <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: .1/5 :Oa/AC Width: Structural Coverage: SF ok <br /> Sik, tri <br /> ..Survey ubmitted: D Yes D No Date of Survey: Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: D No/ None proposed <br /> Proposed Setbacks: <br /> Front(L e) Rear(Str t) ( N S E a ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> 'Me' l2,°+� <br /> te <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See "building height" (a) <br /> definition): <br /> First Floor Elevation (from building plans): (b) <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) <br /> whichever is lower: <br /> Difference between (b) and (c)*: (d) <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) <br /> *If highest existing adjacent grade is below FFE-Height is(a) +(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes D No Permit Number: D Yes D No /A D Yes <br /> 1LA--see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf) <br /> ill I +,a M D Yes No D Yes o <br /> 1 2 4 5 <br /> �� Type(s): Type(s): <br /> Lib <br /> Ibl 10,172—Sf <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />