Laserfiche WebLink
r P�4N REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ,�T�. „��� V 1 ►�V r'� .�� Permit No.: 7�� '�l� �J � <br /> Description of work: 1�!� v ti V Date Rec'd: ' i � � • � � <br /> Septic review by: Date Approved: `� � <br /> Zoning review by: �. Date Approved: � � �� � <br /> Building review by: � Date Approved: 1 G :l � / <br /> Grading review by: �� �w�� r� C�_ Date Approved: �.�' �� '�� <br /> Zoning District: �� Zoning File#: �' <br /> Resolution? � Reso#:�� Reso Date:���� �� Signed: � No Resolution/NA <br /> � <br /> Zoning: Lot Area: SF/f� Width:��� Structural Coverage: SF % <br /> Survey Submitted: �Yes 0 No Date of Survey:"l�� ��� Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: � No/ None proposed <br /> Pro osed Setbacks: <br /> Front Lake) Rear(S�evet) ( N S E M ) ( N S W ) Other Buildings Wetland <br /> Side Si� <br /> Z ' Z� � • S' <br /> Buildin Hei ht Anal sis: <br /> Distance Between First Floor and defined Top of Roofi`(See"building heighY' <br /> definition : <br /> �a) p �% <br /> First Floor Elevation from buildin lans : (b) ����� �� <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, ��� , ���� <br /> whichever is lower: <br /> Difference befinreen b and c "`: �d) <br /> DEFINED HEIGHT <br /> '!f highest existing adjacenf�rade is above FFE-Height is(a)-(d�.� (e) �� <br /> *!f hi hest existin ad'acent rade is below FFE-Hei ht is a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> l� Yes 0 No Permit Number: �, — `Yes � No � N/A 0 Yes No <br /> 1� � 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 /> ��atis"' l� Yes 0 No 0 Yes No <br /> �1 2 3 4 5 l�x;��L�� G��� ���� TYPe(s)��oi" TYpe(s)� <br /> � <br /> Jpdated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />