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F�LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Add�ess: __ 1��� �1�� �' Permit No.: /L �`� 'U'TL3 <br /> Description of work: HfJIU I �� � �� Date Rec'd: �� ' �� '��U <br /> Septic review by: 'c.� �- Yv tb�� Date Approved: <br /> Zoning review by: Date Approved: � �'Z�•'� <br /> . <br /> Building review by: Date Approved: �/ Z /�o <br /> Grading review by:�,V1,1`t ��,�� Date Approved: I �' �' �� <br /> Zoning District: � Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: 2. j F/AC Width: Structural Coverage: ��SF 13•73 % <br /> Survey Submitted: p'�es 0 No Date of Survey: ��'�' �� Revised date(?): <br /> / <br /> Landscape plan submitted? � Yes Landscaper: No/None proposed <br /> 5 � (A� ,�t I(tY� . Ik u QWQIt 0 l QhdSt.o►� <br /> Pro osed Setbacks: �i}, ' � '}- Y��¢, /}� K• <br /> �(Lak� ar(Street�' ( N S � W ) ( N S E WO' Other Buildings Wetland <br /> Side Side <br /> Ilo 2 la' o' N c� <br /> �b batcon�/ <br /> ildinp Heia t Analysis: <br /> Distance Between First Floor and defined Top of � � ��U <br /> Roof'` See "buildin hei ht" definition : a <br /> First Floor Elevation from buildin lans : (b) �� 1 <br /> Highest Existing ground level (per survey) or 10' � /p , � <br /> above lowest round level, whichever is lower: � � `�'�%`�'-� <br /> Difference between b and c : (d) (p,�� <br /> Defined Buildin Hei ht a -(d : , ��� �e� f1•� <br /> �,�. <br /> �t`� � <br /> Shoreland District MCWD Permit ` Average Lakeshore Setback g�uff <br /> Met? <br /> / Permit Number: �� — � �`"'Yes 0 No � N/A � Ye No <br /> q�Yes 0 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 /> 1 2 3 4 5 ��'1��v ���p � Yes No � Yes No <br /> � Q7 S� ,5 8'3 TYPe�s): TYpe(s): <br /> �,3 (� <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />