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� . PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: Permit No.: �J� 1 " tJ�JV�� <br /> Description of work: � {' 1�-� Date Rec'd: �'��' � � <br /> Septic review by: Date Approved: � 2- <br /> Zoning review by: Date Approved: ���/� <br /> Building review by: Date Approved: 2 � � <br /> Grading review by: ��U� � Date Approved:�� � � � <br /> Zoning District: "'� Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution /NA <br /> Zoning: Lot Area: �� /AC Width: Structural Coverage: ��J�- SF -�" % <br /> Survey Submitted: �Yes � No Date of Survey: � '� ��� Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: tP� � ��� 0 No/ None proposed <br /> Pro osed Setbacks: <br /> Front� Rear(St t) ( � S E W� ( N � E W� Other Buildings Wetiand <br /> Side Side <br /> - � ������ � � � �� � <br /> Buildinq Heiaht Analvsis: <br /> Distance Between First Floor and defined Top of �a� /� � <br /> Roof See "buildin hei ht" definition : �� <br /> First Floor Elevation from buildin lans : (b) Cr+'� � ( <br /> Highest Existing ground level (per survey) or 10' ��� <br /> above lowest round level, whichever is lower: ��� ' <br /> Difference between b and c : (d) �� I <br /> Defined Building Hei ht (a) -(d : �e� I��� <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> _ / Permit Number: + �—Q l�� 0 Yes � No N/A � Ye No <br /> �i Yes 0 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 /> 3.�R'f p 0 Yes No � Yes No <br /> 1 2 � 4 5 .�= c��� TYpe(S)� TYPe�s)� <br /> � �. <br /> Updated: October 2016 <br /> v:lforms\plan review checklist 10-2016.docx <br />