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PLAN REVIEW CHECKLIST/ FOR NEW STRUCTURES / ADDITIONS <br /> Address: 7(5 ®/'C/'f Qrcr %v" Permit No.:Z0(7' 00 7 7,� <br /> Description of work: gc.rkA 490 fn. / #Z LJ / Date Rec'd: 7/Ce//7 <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Gl�,l( / Date Approved: 7//0//7 <br /> Grading review by: dd �• Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution /NA <br /> Zoning: Lot Area: SF/ 'C Width: Structural 'overage: SF ok <br /> Survey Submitted: D Yes 0 No Date of Survey: Revised date(?): <br /> Landscape plan submitted? 0 Ye. 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 -ide <br /> Building Height Analysis: <br /> Distance Between First Floor and define. Top of <br /> Roof* (See "building hei!ht" definition): (a) <br /> First Floor Elevation (fro building pla s): (b) <br /> Highest Existing ground l;vel (per su ey) or 10' (C) <br /> above lowest ground level, whicheve is lower: <br /> Difference between (b) an• (c): (d) <br /> DEFINED HEIGHT If highest e,sting gr de is: (e) <br /> C 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 /> Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 <br /> D Yes D No No <br /> 0 N/A—see attached i Setback: <br /> I <br /> Stormwater Quality Existing : -roposed <br /> Overlay District Tier Hardcover i =rdcover Variance Required CUP Required <br /> (circle one) (% and sf) (°. and sf) _ <br /> D Yes D No D Yes D No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx ; <br />