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X­ 1 <br /> PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> ('`� Id- ( �Q (mow <br /> Address: 7 Y► G� v6C�0�l hermit No.: G-y/7"©0�g <br /> Description of work: Date Rec'd: <br /> %d n C • <br /> Septic review by: Date Approved: <br /> Zoning review b . Date Approved: �//0 7 <br /> Building review by: Date Approved: <br /> Grading review by Date Approved: <br /> Zoning District: 9.�' I Zoning File#: <br /> Resolution? es Reso M (Z l Reso Date: 6766 Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % <br /> Survey Submitted: 0 Yes XNo Date of Survey: Revised dateM: <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/ one proposed <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S I E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of (a) <br /> urly�q �u�r� � Roof* See "buildingheight" definition): <br /> Gly aFirst 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) <br /> DEFINED HEIGHT If highest existing grade is: (e) <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 /> , Yes 0 No Permit Number: I'] _ Z� �Yes 0 No 0 N/A 0 Yes 0 <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 % ands % and s <br /> 0 Yes No Yes 0 No <br /> 2 3 4 5 Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />