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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � L..� ` �l(_(� �Q.� Permit No.: ?�� • ��575 <br /> Description of work: H{J�(�t 1 1 d� Date Rec'd: � 2 ��-d '��D <br /> Septic review by: �rt�vv e✓ '�"W�.� � Date Approved: <br /> Zoning review by: � Date Approved: d vt/� I � <br /> Building review by: � Date Approved: � 5 1 � <br /> Grading review by: f�7�,�'�� Date Approved: b���� I � � <br /> Zoning District: L�' Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: � � S /AC Width: Structural Coverage::--I�SF � 1 �� I % <br /> Survey Submitted: �Yes � No Date of Survey: �ZrZ3-I�O Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: �No/None proposed <br /> Pro osed Setbacks: ���� l S S �ti i'1 �l'� ���A C l,'�% ""r <br /> 1 � <br /> Front(L�� Rear(S�t�� ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Buildinq Heiqht Analysis: <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 /> . <br /> Defined Buildin Hei ht a -(d : �e� <br /> a�� �'�� <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> 0 Yes <br /> Yes � No Permit Number: �� - �3 Yes � No � N/A 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 /> i , ' (� �.Z�(� � Yes / o � Yes No <br /> 1 2 3 4 5 l � <br /> 0 �J�3��..�- li '�� �� TYPe(S)� TYpe(S)� <br /> `T <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />