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' '�LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �1�W T d)► 1,'� IV�( Permit No.:__ •�J vY/ "lJ�� <br /> Description of work: <br /> ✓� '� Date Rec'd: ��'��� <br /> Septic review by: �I �-- 1V Ul ���e~ �J Date A prov d: <br /> Zoning review by: Date Approved: 'Z � <br /> Building review by: �/r�" �l'�� Date Approved: �' �� / � <br /> Grading review by: '' Date Approved: ���2 ' � Y� <br /> Zoning District: �—� Zoning File#: <br /> "'--� <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: �� V AC Width: ^ Structural Coverage: �_SF 'T. � % <br /> Survey Submitted: �Yes � No Date of Survey: _ "1•2.a• �� Revised date(?): <br /> r � <br /> Landscape plan submitted? �Yes Landscaper: 0 No/None proposed <br /> Pro osed Setbacks: <br /> �� 6C ►v� �Nn�,rs C�1�- g« --75� / <br /> 3� IA 1 <br /> Fr (Lake) Re�treetT ( N� S E W ) ( N � E W ) Other Buildings Wetland <br /> � Side �de <br /> � ' ' IU <br /> Buildinq Heiqht Analvsis: <br /> Distance Between First Floor and defined Top of <br /> Roof See "buildin hei ht" definition : �a� Z�.�O <br /> First Floor Elevation (from buildin lans : (b) ��,�,.�". <br /> Highest Existing ground level (per survey) or 10' ��� �`',a -T <br /> above lowest round level, whichever is lower: f <br /> Difference between b and c : (d) ,,A; � <br /> Defined Building Hei ht(a) -(d): �e� �, � <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Permit Number: — Yes 0 No 0 N/A � Yes <br /> Yes 0 No No <br /> 0 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 /> �•(pY�O �,{�3G]�j 0 Yes No � Yes o <br /> 1� 2 3 4 5 ��Y�L Type(s): Type(s): <br /> 3 r 2�Y4 s� <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />