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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 2��v 2 C Qr0�i n�- �� Permit No.: �✓�� ' 0�0 b <br /> Description of work: �� t '(1�1 Date Rec'd: �� ' �� <br /> � � <br /> Septic review by: L/ V—' I�.I Date Approved: �� <br /> Zoning review by: Date Approved: G�I v � � <br /> Building review by: � Date Approved: 2. � � <br /> Grading review by: i J� � Date Approved: <br /> Y��� <br /> Zoning District: 't� Zoning File#: b� �3g�2-- <br /> Resolution? Yes Reso#:��b Reso Date: �� � ' � Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: �.L.�.J SF/A Width: Structural Coverage: SF % <br /> Survey Submitted: 0 Yes � No Date of Survey: ��Z-" �w Revised date(?): <br /> td,IC� �3m V ar;atu� �'(� <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/None proposed <br /> Pro osed Setbacks: <br /> F nt(Lake) R�Street) ( N �� E W ) ((' N� S E W ) Other Buildings Wetland <br /> � �de �-� S'de <br /> i � ��_ <br /> � <br /> f <br /> Buildina Heiaht Analysis: ����d�" 25 <br /> Distance Between First Floor and defined Top of �a� � <br /> Roof See "buildin hei hY' definition : <br /> First Floor Elevation from buildin lans : (b) <br /> Highest Existing ground level (per survey) or 10' ��� <br /> above lowest round level, whichever is lower: <br /> Difference between b and c : (d) <br /> Defined Buildin Hei ht(a) -(d): �e� <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Yes 0 No Permit Number: Yes � No 0 N/A � Ye 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 °/a and s % and s <br /> 1 2 3 4 5 I�. � �1,� 0 Yes � No Yes 0 No <br /> Z S� Type(s): pe(s)� <br /> C <br /> U dated: October 2016 � l� <br /> P <br /> v:\forms�plan review checklist 10-2016.docx <br />