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. � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � V�lf1 vl N��y'Y l ���- 1� Permit No.: �J� t —��Z� <br /> Description of work: � Z Z-�: ?JJ�OS7� Date Rec'd: �' �'�� <br /> Septic review by: ��1I Q�✓ �" �C�V�—� Date Approved: <br /> Zoning review by: Date Approved: ' ��'� <br /> Building review by: � Date Approved: l ` <br /> Grading review by: ^�/ Date Approved: �G�J� ��' <br /> Zoning District: L ' � Zoning File#: ,1�Jq z--` <br /> Resolution? Yes Reso#: 1�0� Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: 3.I SF/�C Width: Structural Coverage: SF % <br /> �°'�""` ���° <br /> Surv y ubmi d: 0 Yes 0 No Date of Survey: Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: �o/ None proposed <br /> Pro osed Setbacks: <br /> Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> � <br /> Buildinq Heiaht Analvsis: <br /> Distance Between First Floor and ined Top of �a� <br /> Roof'` See "buildin hei hY' d ' ition : <br /> First Floor Elevation fro �buildin lans : (b) <br /> Highest Existing grou{sd�level (per survey) or 10' ��� / <br /> above lowest round level, whichever is lower: <br /> Difference between b and c : (d) <br /> DEFINED GHT If highest existing grade is: �e� <br /> above FF -Height is(a)-(d) <br /> below FE-Height is(a)+ (d} <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Number: `"', _ 2 R 0 Yes <br /> Yes � No Z � Yes �No 0 N/A Na <br /> � N/A—see attached �(�1'1 (¢—. Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and s % and s <br /> �2.•j �0 �Yes � No Yes � No <br /> � 2 3 4 s I� 39y S Ty e(s): Type s): <br /> � �1( <br /> LaIGtJ �c.. <br /> Updated: October 2016 � " � <br /> v:\forms�plan review checklist 10-2016.docx <br />