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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �32C� NGtV rrL t.�►�t�., Permit No.: �� l 'Q�'� <br /> Description of work: �l.P-� ��tl �� Date Rec'd: �3 '�� <br /> Septic review by:_�/VV� � 1V�1 V► Date Approved: '�^ <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: � G <br /> Grading review by: N � _ — Date Approved: �~ <br /> Zoning District: �–(C.�► Zoning File#: � 1 '3��� <br /> Resolution? Yes Reso#:�� Reso Date: �'(� '�� Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: �D /AC Width: Structural Coverage: � � SF N L' % <br /> Survey Submitted: �es � No Date of Survey: $�(5 '�S Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: � N one propose <br /> Proposed Setbacks: <br /> Front(L� Rear(Str ( � S E W ) ( N � E W ) Other Buildings Wetland <br /> / Side �de <br /> --- �'� l0 ' l 3' <br /> Buildinct Heiqht Analvsis: <br /> Distance Between First Floor and defined Top of �a� <br /> Roof See "buildin hei ht" definition : <br /> First Floor Elevation from buildin ns : (b) <br /> Highest Existing ground levg�(`per survey) or 10' A <br /> above lowest round le��;whichever is lower. ��� <br /> Difference betwee and c : <br /> Defined B ildin Hei ht (a -(d): �e� <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Yes p Na Permit Number: 0 Yes � No �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 /> Z,�•�QjO �.gL� es � No 0 Yes 0 No <br /> 1 2 (../ 4 5 (1t0�S'� Z) �S� TYPe( )� TYpe(S)� <br /> 3 �- r <br /> �04- W;d� <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />