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PLAN REVIEW CHECKLIST FOR <br /> NEW STRUCTURES / ADDITIONS <br /> Address: / �9`�� �aaU!eW r PermitNo.: Zf8 ` 69D 711-- <br /> Description of work: Date Rec'd: //2.r...//5 <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Buildingreview b : �.e%� ff'i' Date Approved: / / J <br /> Yy <br /> i� PP � .r <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution I NA <br /> Zoning: Lot Area: SF/AC Width: Structur• Coverage: SF % <br /> Survey Submitted: D Yes D No Date of Survey: Revised date(?): <br /> Landscape plan submitted? Yes Landscaper: 0 No/ None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N - E W ) Other Buildings Wetland <br /> Side Side <br /> Building Height Analysis: <br /> Distance Between First Floor and define. Top of Roof (See "building height" (a) <br /> definition): <br /> First Floor Elevation (from building plans): (b) <br /> Highest Existing ground level (per survey) or 1 I above lowest ground level, (c) <br /> whichever is lower: <br /> Difference between (b) and (c)*: (d) <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is abov• FFE-Height is(a)- d): (e) <br /> *If highest existing adjacent grade is be/,w FFE-Height is(a) + .) <br /> Shoreland District WD Permit Average Lakeshore Setback Bluff <br /> \ Met? <br /> Yes D No Permit Nu, ber: D 'es 0 No 0 N/A 0 Yes 0 No <br /> 0 N/A see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf (% and sf) <br /> Yes D No D Yes D No <br /> 1 2 3 4 5 Ty e(s): Type(s): <br /> __-/- <br /> Updated: <br /> /Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />