Laserfiche WebLink
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �� W Permit No.: L�J� ! + �lJtr��lJ <br /> Description of work: '� ate Rec'd: �' �O ' �T_ <br /> � <br /> �3 o8L 5 7� <br /> Septic review by: �(�of/'G�'' � a>� Date Approved: <br /> Zoning review by: Date Approved: ( ' ���� <br /> .� <br /> Building review by: _ � �-�� Date Approved: � <br /> Grading review by: a Date Approved: l ' � ��� <br /> Zoning District: � Zoning File#: "�J�� <br /> Resolution? es Reso#:�� Reso Date: �'q'�� Signed: es No Resolution I NA <br /> Zoning: Lot Area: SF/ C Width: Structural Coverage: ��SF ��9 % <br /> ,�,�°'' i'� • !� <br /> Survey Submitted: es � No Date of Survey: Revised datel?): <br /> Landscape plan submitted? 0 Yes Landscaper: � No/ one proposed <br /> Pro osed Setbac�cs�l� �Y V� l�p�i',� W 1� �Ut� �Vl ('/Y� �'V�.1fYU��1 tV�A -� �U( �+' -hll i�C2. <br /> _.:J <br /> Fr t(Lake) R r(Street) ( N S E� ( N S�E�}W ) Other Buildings Wetland <br /> Side Si�' <br /> Go' �Oa � , � <br /> Buildinq Heiqht Analvsis: <br /> Distance Between First Floor and defined Top of � � <br /> Roof See "buildin hei ht" definition : a �- ���J <br /> First Floor Elevation from buildin lans : (b) Q�:: � � <br /> Highest Existing ground level (per survey) or 10' ��� ����� <br /> above lowest round level, whichever is lower: <br /> Difference between b and c : (d) � �F <br /> e �� r � <br /> Defined Buildin Hei ht (a -(d : � � � ��-' <br /> i ��k� <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> �Yes 0 No Permit Number: �� . l Yes � No � N/A � Ye 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 ?"�' �6 �� �"��� Yes 0 No 0 Yes No <br /> ���1 S� �g�� �'� Y e s : Type(s): <br /> r�tr s,2�6a�eK-. <br /> Updated: October2016 �I ��n ��j � <br /> v:\forms�plan review checklist 10-2016.docx � "���r <br /> ��5�1�02ClC.►i (��7Wdrl� B�IP• 0 <br /> f rwt�t�m�i�u S�1�C� <br />