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PLAN <br /> REVIEW <br /> (�CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: <br /> Description of work: C 1VV Amy—, Date Recd: <br /> Septic review by: U ' Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: (�� <br /> Grading review by: '� Date Approved: a��2, <br /> Zoning District: ,^ A Zoning File M <br /> Resolution? Yes Reso M Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: Q 8 Z,�AC Width: Structural Coverage: NA-SF % <br /> Survey Submitted: es 0 No Date of Survey: Revised dateM: <br /> : <br /> Landscape plan submitted? 0 Yes Landscaper: D /None propose <br /> Proposed Setbacks: <br /> Fr t(Lake) R r(Street) (� S E ( N(7S E W") Other Buildings Wetland <br /> Side 'Side <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of <br /> Roof* See "buildingheight" definition): <br /> (a) f>• <br /> First Floor Elevation from building plans): (b) <br /> Highest Existing ground level (per survey) or 10' (c) <br /> above lowest ground level, whichever is lower: <br /> Difference between b and (c): (d) L <br /> DEFINED HEIGHT If highest existing grade is: (e) J <br /> above FFE-Height is(a)-(d) , <br /> below FFE-Height is(a)+(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> lid <br /> Yes No Permit Number: 0 Yes 0 No 0 N/A El Ye No <br /> D N/A—see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % ands % and s <br /> 1(p1 . -ID D Yes No 0 Yes No <br /> J 2 3 4 5 Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />