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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES I ADDITIONS <br /> Address: �7�i� j�/I P�SQ�G7 d G(CL Permit No.: C��7-- �/jl�� <br /> Description of work: . �(L r�OoL /��li �ZQ�d{�,� Date Rec'd: <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: ( �.�.,�� <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes R o#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % <br /> Survey Submitted: � Yes � No Date of Survey: Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: f 0 No/None proposed <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W� ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Buildin Hei ht Anal sis: <br /> Distance Between First Floor and fin Top of Roof* (See"building height" �a� � <br /> definition : <br /> First Floor Elevation from buildin ns : (b) <br /> Highest Existing ground level (per su y)or 10' above lowest ground level, ��� <br /> whichever is lower: <br /> Difference between b and c *. (d) <br /> DEFINED HEIGHT <br /> "!f highest existing adjacent g de is above FFE Height is(a)-(d): (e) <br /> *If hi hesf existin ad"acent de is below FFE- ei ht is a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> � Yes 0 No Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 N/A—see attached Setback: <br /> Stormwater Quality Existing Pr osed <br /> Overlay District Tier Hardcover Har over Variance Required CUP Required <br /> circle one °/a and s % a d s <br /> � Yes � No � Yes � 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 />