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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 6 (9 u/l�ll[�IIV P/1I-V a Permit NO.:Z " 016 <br /> Description of work: Date Rec'd: Zzz�L <br /> Septic review by: Date Approved: <br /> Zoning review by: 42Date Approved: <br /> Building review by: Date Approved: Z 2 <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File M <br /> Resolution? Yes Reso M Reso Date: ;Sey: <br /> hed: Yes No Resolution/NA <br /> Zoning: Lot Area: SF C Width: uctural Coverage: SF % <br /> Survey Submitted: 0 Yes 0 No Date of Reviseddate(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( S E ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Buildin-q Hei ht Analysis: <br /> Distance Between First Floor and definedof Roof* (See"building height" (a) <br /> definition <br /> First Floor Elevation from building plans)/. (b) <br /> Highest Existing ground level (per sury y)or 1 ' 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-Heigh is(a)-(d): (e) <br /> *If highest existingadjacent rade i below FFE-Hei ht"s a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes 0 No Permit tuber: 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 N/ -see attached Setback: <br /> Stormwater Quality Existing Pr posed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and s % nd s <br /> 0 Yes 0 No 0 Yes 0 No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: June 2017 <br /> zAforms\plan review checklist 06-2017.docx <br />