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_ � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � � r Permit No.: L�J�� — ���„�V <br /> Description of work: lJl � 3 � Date Rec'd: �0'!�-T 1 �Q <br /> � <br /> Septic review by:_���`��q--W(�1'CA' Date Approved: <br /> Zoning review by: Date Approved: / '�/Y� <br /> Building review by: Date Approved: 'I� l <br /> Grading review by:_�/`�- Date Approved: .�!Oc j�f� <br /> Zoning District: ��(�► Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes _No Resolution/N� <br /> Zoning: Lot Area:� �L7 SF AC Width: Structural Coverage: SF % <br /> Survey Submitted: �Yes � No Date of Survey: �t '�0 ' �� Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: ���,�1'I`Olr ��.Q�� S�� No/None proposed <br /> Pro osed Setbacks: �r�-R,i N�e�v' V�L"' I'i''/ "� 7Z. <br /> F nt(Lake) Rear(S et) (� S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> ZJ4'� -- (Q � �-� <br /> Buildinq Heiqht Analvsis: <br /> � tance Between First Floor and defined Top of � � <br /> Roof " ' in hei hY' definition : a <br /> First Floor Elevation (fro lans : (b) <br /> Highest Existing gro evel (per survey) o ' <br /> above lowest d level, whichever is lower: <br /> Differen etween b and c : (d) <br /> Defined Building Hei ht (a) -(d): �e� <br /> Shoreland District MCWD Permit ,Cj Average Lakeshore Setback Bluff <br /> ✓ Met? <br /> �Yes � No Permit Number: �Z%�') Yes � No 0 N/A � Ye No � <br /> ��� <br /> � N/A—see attached Setback: <br /> Stormwater Quality Existing osed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and sf % and s <br /> /� '�(�'"� S 0 Yes No 0 Yes No <br /> ( 1 ) 2 3 4 5 Z ' �-j Type(s): Type(s): <br /> �'� 9' (Q�"GO <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />