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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �'`W l J PermitNo.: �l� � ���� <br /> Description of work: � (� - � <br /> � Date Rec'd: a� L7`� � <br /> � '3� <br /> Septic review by: ��i��� �'� � C1�'���� Date Approved: /� l� <br /> � <br /> i �r <br /> Zoning review by: I � Date Approved: � , � � <br /> Building review by: Date Approved: ?� � ^ � � <br /> Grading review by: N�� �ll`�1 �I,��i�lG"J Date Approved: <br /> Zoning District: IL �� Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: � _LSF % <br /> �'�tro�-�rr��tt�ci���s � No Date of Survey: Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 1 v�,� ,7 r � ^ � No/None proposed <br /> Pro osed Setbacks: N � � <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> � � � � <br /> Buildin Hei ht Anal sis: <br /> Distance Between First Floor and defined Top of Roo' e"building heighY' �a� � <br /> definition : <br /> First Floor Elevation from buildin I (b) // <br /> Highest Existing ground lev� er survey) or 10' above lowest ground level, ��� <br /> whichever is lower: ,�� <br /> Difference betwe b and c *: (d) <br /> DEFIM�E6 HEIGHT <br /> 'If highest existing adjacent grade is above FFE-Heighf is(a)-(d): e) <br /> 'If hi hest existin ad'acent rade is below FFE-Hei ht is a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes � No PermitNumber: �`�� � Yes 0 No � N/A � Yes � 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 /> � � 0 Yes 0 No � Yes O No <br /> 1 2 3 4 5 � �� Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />