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� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �1� (V��`!'1� , �Im �• Permit No.: l�1�1 '��� <br /> Description of work: 11.I1 Date Rec'd: ``����� <br /> Septic review by: �MYV► �—" �Y'�/� Date Approved: <br /> Zoning review by: Date Approved: �' ���� <br /> Building review by: Date Approved: � ` � <br /> Grading review by: 1 v �' Date Approved: �� <br /> Zoning District: �-11" Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/ NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % <br /> �S��SI[�fsm�ed: 0 Yes 0 No Date of Survey: g'� ��� Revised datel?): <br /> Landscape plan submitted? � Yes Landscaper: N��Q. �o/None proposed <br /> Pro osed Setbacks: <br /> F ( e Rear treet ( N � E W ) (� S E W ) Other Buildings Wetiand <br /> ide Side <br /> (�� �g <br /> Buildinq Heicaht Analysis: <br /> Distance Between First Floor and defined Top of �a� <br /> Roof See "buildin hei ht" inition : <br /> First Floor Elevation f buildin lans : (b) <br /> Highest Existin ound level (per survey) or 10' ��� <br /> above lowes round level, whichever is lower: <br /> Differenc etween b and c : (d) <br /> DEFI D HEIGHT If highest existing grade is: <br /> a e FFE-Height is(aj-(d) <br /> low FFE-Height is(a)+(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Permit Number: N6� Yes � No p N/q � Yes <br /> �Yes � No 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 /> g(,�"j� ` � 0 Yes No 0 Yes No <br /> 1 2 3 4 5 N� Type(s): Type(s): " <br /> 3(v.4°Zo � <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />