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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ` d I r Permit No.:��� �«"�15D� <br /> Description of work: IV�M/ S�n:�19-- �etm�t J �� Date Rec'd: �2'� "�,(� <br /> Septic review by: Date Approved: � Z ��' � <br /> Zoning review by: Date Approved: �,'� '� � <br /> Building review by: � Date Approved: �Z �� l <br /> Grading review by: �1/�Y 1 ` lit�IW�►V� Date Approved: �L� ��� � � <br /> Zoning District: ��— (� Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes o Resolution/NA <br /> Zoning: Lot Area: $� /AC Width: Structural Coverage: SF % <br /> Survey Submitted: �s 0 No Date of Survey: �U '��' � v/Revised date(?): <br /> Landscape plan submitted? �Yes Landscaper: ��l�(,Q�Q � �(�'r1I � No/None nr^posed <br /> Pro osed Setbacks: �� <br /> Front(L ) Rear(S et) ( N S E W ) ( N S E (W J) ���` J id <br /> Si� Side � � <br /> 2 � ' � � , �) 1 �_-�,J � ���� — <br /> _�,� '� <br /> Buildinq Heiqht Analvsis: 1 <br /> Distance Between First Floor and defined Top of 1 ; <br /> Roof See "buildin hei ht" definition : �a� ��--�� �`� 1 <br /> First Floor Elevation (from buildin plans : (b) Q Z <br /> Highest Existing ground level (per survey) or 10' ��� q��,v,� <br /> above lowest round level, whichever is lower: <br /> Difference between b and c : (d) g,_�;:%__. <br /> Defined Building Height (a -(d): �e� Z-(�,�'-� <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> � Yes 0 No Permit Number: 1�. (e?� � Yes � No �N/A � Ye 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 /> 1 2 3 4 5 I�I`��� Q•,4�� � Yes o � Yes No <br /> � �,0 ���`�" ��Q7 �� TYPe�s)� TYpe(S)� <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />