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PLAN,REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 2_2.10 Stiak Permit No.: 2.011c2.011c /—7 <br /> Description of work: POO Date Rec'd: 4•2.22 1K. <br /> cOmpti;lrfo,' Ctrt,,Uc:. 5•I'tY <br /> Septic review by: L,� �2 Date Approved: ._... /.4-.2//I <br /> Zoning review by: / LJ ..f44 i Date Approved: 5. e. 11( <br /> Building review by: e.c.)-- ,e. �� Date Approved: 376/#3 <br /> Grading review by: K1 Pr Date Approved: <br /> Zoning District: 1l.'6 Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: 2r SF�. Width: Structural Coverage: N PrSF % <br /> SufArbW: AKes 0 No Date of Survey: 1' 11:t Y Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: a111A VICA/J DiSlo 0 No/ None proposed <br /> Proposed Setbacks: <br /> Front(L94 Rear(Str ) ( N S( E J W ) ( N S E W ) Other Buildings Wetland <br /> Si Side <br /> • <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof*(See "buil ' -'-"" I . , <br /> definition): /� jey(9.-First Floor Elevation (from building plans): 1 `� 1 E;j - <br /> Highest Existing ground level (per survey) or9bove lowest g / <br /> whichever is lower: <br /> (�JC'� <br /> Difference between (b) and (c)*: <br /> i SWId Walifr <br /> DEFINED HEIGHT <br /> *If highest existing adjacent g e is above FFE-Height is(a) -(d): (e)/ <br /> *If highest existing adjacent grade is below FFE-Height is(a) +(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes No Permit Number: X11 "' 0110 , 0 Yes 0 /No V/A 0 Yes Qo <br /> 0 N/A-see attached Setback: /2I <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf) <br /> 0 Yes 0 Yes Flo <br /> 1 2 3 4 51\1 I f2 Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />