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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ��V �h�(1L I�tJ� Permit No.: ��� "'��T' <br /> Description of work: �X�.1� Date Rec'd: �'�7��� <br /> Septic review by: Date Approved: <br /> Zoning review by: ^ Date Approved: J `�� "��7 <br /> Building review by: � Date Approved: �� l <br /> Grading review by: Date Approved: �� <br /> Zoning District: ��'�l� Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution /N <br /> Zoning: Lot Area:_��SF/AC Width: Structural Coverage: SF % <br /> Survey Submitted: � Yes �lo ate of Surve : Revised date ? : <br /> � � h� <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/None proposed <br /> Pro osed Setbac : <br /> Front(L e) Rear(Stre � ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> �� <br /> Buildinq Heiqht Analvsis: <br /> Distance Between First Floor and defined of �a� <br /> Roof See "buildin hei hY' definitio : <br /> First Floor Elevation from buil�l+ri� plans : (b) � <br /> Highest Existing groun vel (per survey) or 10' ��� <br /> above lowest rou evel, whichever is lower: <br /> Difference be en b and c : (d) <br /> Defined Buildin Hei ht(a -(d : �e� <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Permit Number: l �...I a� � � Yes 0 No N/A 0 Yes <br /> 0 Yes No t 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 /> � � Yes No 0 Yes No <br /> 1 2 3 4 5 � Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />