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� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> , Address: �V!�� ���W l 51 L��'�. �• Permit No.: �� � �� <br /> Description of work: _��{'1�(� Date Rec'd: 5'�'�� . <br /> Septic review by: aC�l�l'e� '�-- w A� Date Approved: �—' <br /> Zoning review by: Date Approved: �� <br /> Building review by: Date Approved: �� � <br /> Grading review by: l=-�t�IVV�� Date Approved: � �•�7 <br /> Zoning District: —��' Zoning File#: � "�� <br /> Resolution? Yes Reso#:�� Reso Date: 1V�� Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: �'J /AC Width: Structural Coverage: �'tD�1 SF ,��% <br /> ��-r�u.--�2ow <br /> Survey Submitted: �Yes 0 No Date of Survey: 2 ' �� ' �7 Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: � No/None proposed <br /> Pro osed Setbacks: <br /> Fr�it(Lake) �(Street) ( N S E W ) ( N S E �V ) Other Buildings Wetland <br /> � Si e Side <br /> �� ----.. <br /> Buildinq Hei�tht Analvsis: <br /> Distance Between First Floor and defined Top of �a� � <br /> Roof See "buildin hei hY' definition : <br /> First Floor Elevation from buildin lans : (b) <br /> Highest Existing ground level (per survey) or 10' ��� <br /> above lowest round level, whichever is lower: <br /> Difference between 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 /> �Yes � No Permit Number: 0 Yes No � N/A � Ye No <br /> A—see attached r� Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and s % and s <br /> I��� 15�_Z"j�rj� Yes � No 0 Yes o <br /> � 2 3 4 5 pe(s): Type(s): <br /> l/ 128�5 S� 1313�v5�' <br /> , � �,�, �5 � <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />