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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: "l �� a fU' � • L�� tJ� Permit No.: �`7 ' vu�V2.. <br /> Description of work: N QJ�11� �W1n�i�►/��.�• Date Rec'd: �'�T"�� <br /> Septic review by: C��� �– 1tVQ'�'W Date Approved: '�� <br /> Zoning review by: Date Approved: c� �'� �l� <br /> Building review by: Date Approved: �v /� l <br /> Grading review by: t'�i7�Wr� �wQ� . Date Approved: �'1v '�� <br /> Zoning District: t� Zoning File#: '—'–""' <br /> Resolution? Yes Reso#: ---- Reso Date: = Signed: Yes No Resolutio /N <br /> i <br /> Zoning: Lot Area: 5�OgZ�/AC Width:� Structural Coverage: SF % <br /> Survey Submitted: �Yes 0 No Date of Survey: �"�� '� t Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: � No/ None proposed <br /> Pro osed Setbacks: <br /> Front(L� Rear(S et) ( �S E W ) ( N � E W ) Other Buildings Wetland <br /> Side ide <br /> l3' 2.5 , � � , 3Z, <br /> Buildinp Heiqht Analvsis: <br /> Distance Between First Floor and defined Top of � � <br /> Roof See "buildin hei ht" definition : a �� ;� <br /> First Floor Elevation from buildin lans : (b) »},,,r, <br /> Highest Existing ground level (per survey) or 10' <br /> above lowest round level, whichever is lower: ��� 1�=`�. � <br /> Difference between b and c : (d) -}. 'r= <br /> (e) I� ,at�; <br /> Defined Buildin Hei ht(a) - (d): � <br /> � �� <br /> verage Lakeshore Setback <br /> Shoreland District MCWD Permit �. Lf Met? Bluff <br /> � Yes �No Permit Number: (� _ � � Yes � No �V/A � Ye No T <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 /> � Yes No 0 Yes No <br /> 1 2 3 � 5 ----+ �----+ Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />