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� ` � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � ��XtY q �V 1 1 ► 1 �r1�. �6f Permit No.: 1.�1� 'W�IY"r <br /> Description of work: _�Q,�1 �• Q 1 4.�,� Date Rec'd: (p'�Q'� / <br /> Septic review by: � ,�7..� Ki�C',y� /"v G l� Date Approved: <br /> Zoning review by: ' Date Approved: � ' ��'�7 <br /> Building review by: ` Date Approved: � � <br /> Grading review by: � Date Approved: /�J��.i� <br /> Zoning District: l.�.�"'�l'r Zoning File#:��7'�7L►9 <br /> Resolution? Yes Reso#: �� Z- Reso Date: _ - , Signed: Yes No Resolution/ NA <br /> Zoning: Lot Area: 3� ! SF AC Width: , � Structural Coverage: SF % <br /> Survey Submitted: �'S'es 0 No Date of Survey:.7•2�'(� Revised date(?l: <br /> Landscape plan submitted? � Yes Landscaper: O No/None proposed <br /> Pro osed Setbacks: <br /> F t(Lake) R (Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Buildinq Heiqht Analvsis: <br /> Distance Between First Floor and defined Top of �a� � <br /> Roof'` See "buildin hei ht" definition � <br /> First Floor Elevation from buil ' lans : (b) <br /> Highest Existing ground el (per survey) or 10' ��� <br /> above lowest roun vel, whichever is lower: <br /> Difference betw n b and c : (d <br /> Defined uildin Hei ht (a -(d : �e� <br /> Shoreland District MCWD Permit Average Lakeshore Setback gluff <br /> Met? <br /> Permit Number: ("? - ZZ � Yes �t-No � N/A �es � <br /> Yes 0 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 /> �•�[�O ��,.� �Q es � No Yes � No <br /> 01 2 3 4 5 ype(s): Type(s � <br /> I (, � �39'5 <br /> Se�bdttic- <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />