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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �T�J�.) �q�� Permit No.: �� t '���' <br /> Description of work: ��-» Date Rec'd: �'3'� � <br /> Septic review by:�/�fVV� �'' 'v � Date Approved- <br /> Zoning review by: Date Approved: ' �� � <br /> Building review by: Date Approved: �V � <br /> Grading review by: � Date Approved: <br /> �----� <br /> Zoning District: �-i�� Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolutio / NA <br /> Zoning; Lot Area: F AC Width: Structural Coverage: SF �-�' °/ <br /> � �Qrt �� C � <br /> Survey Submitted: '1,�Yes � No Date of Survey: � Z'�� Revised date(?). t�'�`� <br /> i/ � <br /> Landscape plan submitted? � Yes Landscaper: 0 No/None proposed <br /> Pro osed Setbacks: <br /> lv 10 <br /> Front(L ce) Rear(Str ) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> 5' -' - <br /> � <br /> Buildinq Heiqht Anaivsis: <br /> Distance Between First Floor and defined Top of �a� � <br /> Roo�` See "buildin hei ht" definition : <br /> First Floor Elevation from buil ' lans : (b) � <br /> Highest Existing grountN�vel (per survey) or 10' ��� �% <br /> above lowest r d level, whichever is lower: <br /> Difference een b and c : (d) ' <br /> Defined Buildin Hei ht (a) -(d : �� <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> �Yes � No Permit Number: 0 Yes � No �A � Ye No <br /> 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 /> �,�Cjp �.?,(�d1 0 Yes 0 Yes No <br /> 1� 2 3 4 5 2 n�� S� �� Type(s): Type(s): <br /> J'� <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />