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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: J"t7 Z L�YiC,� rcY�' Permit No.: ��7'�� <br /> Description of work: _iv Q�(IV t'�vN.� Date Rec'd: `'�"'�Q'� 1 <br /> Septic review by: S�i�/`/�/1� �' W a1W Date Approved: <br /> Zoning review by: Date Approved: 'T' •� <br /> Building review by: Date Approved: ✓✓ � l <br /> Grading review by: � �,1�� Date Approved: 'C`Ui''� 1 <br /> Zoning District: ��� Zoning File#: �� "3q� <br /> Resolution? es Reso#:�� Reso Date:J?'�.3'� Signed: Yes No Resolutio� <br /> Zoning: Lot Area: �d0 ATION�� <br /> 7 SF/AC Width: Structural Coverage: �37�' S '-'- % <br /> Survey Submitted: �'Yes � No Date of Survey: J•Z-7• ��] Revised date(?): <br /> / <br /> Landscape plan submitted? � Yes Landscaper: 0 No/ one proposed <br /> Pro osed Setbacks: <br /> I <br /> Front(�) Rear(St t)� ( N S � W ) ( N S E OW ) Other Buildings Wetland <br /> Side Side <br /> � ��i �i <br /> Buildinq Heiqht Analysis: <br /> Distance Between First Floor and defined Top of �a� <br /> Roof See "buildin hei hY' definition : 2. <br /> Fi�rst Floor Elevation from buildin lans : (b) 5, <br /> Highest Existing ground level (per survey) or 10' ��� n¢� O <br /> above lowest round level, whichever is lower: `1 �4 <br /> Difference between b and c : (d) 3,d <br /> Defined Buildin Hei ht(a) -(d): �e� �I <br /> , ti <br /> �\ ��� <br /> Shoreland District MCWD Permit ,� � Average Lakeshore Setback g�uff <br /> ,.� Met? <br /> / l� , �� 0 Yes <br /> �f Yes 0 No Permit Number: 0 Yes 0 No N/A 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 /> 3�•5%p Yes � No 0 Yes No <br /> 1 2 03 4 5 Z.�LLS'� YPe�S): TYpe(S): <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />