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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: , ! 15 TV( *&? fr Permit No.: LO1 0 -©ou 7 <br /> Description of work: Nom/ 14-akY`- Date Rec'd: I -1448" <br /> Septic review by: r XPi/ j.--)/..e.4.„-/ Date Approved: l/Z-?//8 <br /> Zoning review by: �. .Il11 t��� Date Approved: 5 T.. I <br /> Building review by: I`: :/ �j� Date Approved: 41-/////e <br /> Grading review by: A'% 1, Il .l, f i S rL Date Approved: 2"7 '1 5 ISD <br /> Zoning District: ?1- 1.13 Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution I NA <br /> --KACI I Z� 22 ,� <br /> Zoning: Lot Area: SF 6 Width: Structural Coverage: NA- SF <br /> XI(ldablg, ar : I_ 11 <br /> Survey Submitted: es D No Date of Survey: 12 . (0.17 Revised date(?): 1U` 4X • <br /> Landscape plan submitted? D Yes Landscaper: / Mil \I 6 ' D No/ None proposed <br /> Proposed Setbacks: `-i1`Vg2I -30C, Grlii <br /> pea(LaJec R r(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> y' 0-WI-- <br /> Building <br /> L- <br /> Build,,o,"Hem t Analysis <br /> Distance Between First Floor and defined Top of Roof* (See "building height" (a) 25J <br /> definition): <br /> First Floor Elevation (from building plans): (b) cfc, <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) ci <br /> whichever is lower: <br /> Difference between (b) and (c)*: (d) j," <br /> DEFINED HEIGHT <br /> *Ifhighest existing adjacent grade is above FFE-Height is-(a)-(d): (e) 260 <br /> *If highest existing adjacent grade is below FFE-Height is(a) +(d) <br /> 7-q, 2-5 <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes D No Permit Number: 11- +L0 Yes D No D N/A D Yes )3".No <br /> D N/A-see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf) <br /> --) , I 070 D Yeso D Yes o <br /> O 2 3 4 569 2 Type(s): 111JJJ Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />