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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> /�2 �L,1 -�t� -7 /�y� 'C <br /> Address: � ' S��Permit No.: �� [ ' W�l�J <br /> Description of work: ���N2, - 3 U�+�'bl'" Date Rec'd: ��o '� / <br /> Septic review by: c�'QM/l,� �"' �q,M -Da e App�ove� . �� <br /> 3 r7 1 <br /> Zoning review by: Date Approved: 7 <br /> Building review by: � Date Approved: � !�'�J <br /> Grading review by: �� Date Approved: /_� Fc.� )� <br /> Zon_ing District: � Zoning File#: -- <br /> Resolution? Yes Reso#: -- Reso Date: '-"- Signed: Yes No Resolution/N <br /> / <br /> Zoning: Lot Area: �� SF AC Width: �' � Structural Coverage: �SF � % <br /> Survey Submitted: �es � No Date of Survey: 2' ?V•/�] Revised date(?): <br /> Landscape plan submitted? ' 0 Yes Landscaper: 0 No/None proposed <br /> Pro osed Setbacks: S� lUw� V►` UI�r <br /> Front(�) Rear(Str �S E W ) ( N �E W ) Other Buildings Wetland <br /> Side ide <br /> � � t D � - <br /> Buildinq Heiaht Analvsis: <br /> Distance Between First Floor and defined Top of � <br /> Roof See "buildin hei ht" definition : <br /> First Floor Elevation from buildin lans � ' (b) <br /> Highest Existing ground level (per rvey) or 10' ���. <br /> above lowest round level, w ' ever is lower: <br /> Difference between b d c : (d) <br /> r <br /> Defined Buildi Hei ht(a) -(d): �{��] z� '� <br /> ( ��, <br /> � 1(,G��(,� ��,�l <br /> , ,. <br /> Average Lakeshore Setback <br /> Shoreland District MCWD Permit� Met? Bluff <br /> � Yes �No Permit Number: ' -� 6 0 Yes � No .I�/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 % and s % and s <br /> �YQ� 0 Yes No � Yes No <br /> 1 2 3 4 5 p;�A ,�D Type(s): Type(s): <br /> T <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />