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� � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: I�L�� �� 'f ��T U��-�' Permit No.: �61 � WIV�� <br /> Descri tion of work: ' <br /> p ��i�"J"� Date Rec'd: l�'�� �� <br /> Septic review by: C���'�{� '1— WQ/� - ate Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: �q�41d`�' U/Vti Date Approved: � '��' �� <br /> Grading review by: Date Approved: <br /> Zoning District: 1.�' � Zoning File#: �1 �`IJ 6 <br /> Resolution? Yes Reso#:i�� Reso Date:�"�L��7 Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: J S /AC Width: Structural Coverage: SF % <br /> Survey Submitted: �es 0 No Date of Survey: ��' �� l ! Revised date(?): '�% '�-' � <br /> Landscape plan submitted? � Yes Landscaper: 0 No/None proposed <br /> Pro osed Setbacks: �i}j�1; � � C 1,c�� <br /> f `-� I� <br /> Front( e)"� Rear(St e ( N S�EJW j ( N S E � Other Buildings Wetland <br /> S�de� Side <br /> �'-.�.5 A' ` � �0 ' Z�° <br /> �U c�.�'.K--�eJ4 �?�r� \'��- f� ��;� ;:,�,r�'�;:'� .- <br /> Buildinq Heiqht Analvsis: " <br /> Distance Between First Floor and defined Top of <br /> Roofl See "buildin hei ht" definition : �a� ���.�'� <br /> I fi 1 First Floor Elevation from buildin lans : (b) � - <br /> � �.,, Highest Existing ground level (per survey) or 10' ��� �,� <br /> (,�� above lowest round level, whichever is lower: <br /> �'J� Difference between b and c : (d) ,/ <br /> Defined Buildin Hei ht(a -(d): �e� �J'��� <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Permit Number: 0 Yes � No �N/A � Yes <br /> Yes � No 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 /> �, �'��s�"�� Yes � No 0 Yes No <br /> 1 2 3 4 5 yp (s : • Type(s): <br /> � �;i �..� -f. (j� � <br /> Si d�.Sf1�f S���K-- <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br /> � a„ � Y <br />