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� ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � . � Permit No.: �✓�7-��L.c� <br /> Description of work: ��I�► Date Rec'd: �•vl •�� <br /> Septic review by: c3C/W�JIr �- rWl� Date Approved: <br /> Zoning review by: Date Approved: ��' �lU'�� <br /> Building review by: t Date Approved: �� �t l <br /> Grading review by:��„a� ��IM IM��,� Date Approved: �� `�V' � � <br /> Zoning District: U Zoning File#: ""'-' <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: 10 SF AC Width: Structural Coverage: �� SF °/a <br /> Survey Submitted: �Yes � No Date of Survey: �'2�'� ! Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: �'U S1 1�lYv 1�1 0 No/ None proposed <br /> Pro osed Setbacks: <br /> Front(L�k� Rear(S et) ( N �S E W ) (�N S E W ) Other Buildings Wetland <br /> Side Side <br /> ' t ` Z' ` I�r <br /> Buildin Hei ht Anal sis: <br /> Distance Between First Floor and defined Top of Roof" (See"building heighY' �. <br /> definition : �a� I �;„_, <br /> 1�'''``' � First Floor Elevation from buildin lans : (b) � <br /> .�" Highest Existing ground level (per survey)or 10' above lowest ground level, ��� I <br /> whichever is lower: `�1�- ` <br /> Difference between b and c *: (d) , <br /> DEFINED HEIGHT <br /> istirag-edjeeer�gFade-isabEive-F-€€-Heightrs(af=-(r/f:-^ (e) ` <br /> ..-�., . <br /> "If hi hest existin ad'acent rade is below FFE-Hei ht is a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback gluff <br /> Met? <br /> �Yes � No Permit Number: � _G� � Yes 0 No N/A 0 Yes 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 /> �7,� 0 Yes No 0 Yes No <br /> 1 2 3 4O 5 � �.�'I,V TyPe(S). TYPe(S): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />