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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: r1--7,1)1) Permit No.: 2-017 - 00Mg <br /> Description of work: I v CNV Date Recd: 437- 1 -j-] <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: q- 11- t -7 <br /> Building review by: Date Approved: 9LI�zl—, <br /> Grading review by: w Date Approved: 'I-7 <br /> Zoning District: -KPZoning File M I(Q <br /> Resolution? Yes Reso M O Z Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: UtS AC Width: 3tizuc g t " 6: Z SF <br /> Survey Submitted: �es 0 No Date of Survey: CD -ZZ-(7 Revised dateM: <br /> Landscape plan submitted? 0 Yes Landscaper: O.No/None proposed <br /> Proposed Setbacks: <br /> '1 <br /> Front( e) Rear(Str r) ( �N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> -75 <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of <br /> Roof See "buildingheight" definition): <br /> a <br /> First Floor Elevation from building plans): (b) ! <br /> Highest Existing ground level (per survey) or 10' (c) 7 <br /> above lowest ground level, whichever is lower: -= <br /> Difference between b and (c): (d) ',. <br /> DEFINED HEIGHT If highest existing grade is: (e) <br /> above FFE-Height is(a)-(d) <br /> below FFE-Height is(a)+(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes 0 No Permit Number:0 o <br /> l 3 1d 0 Yes 0 No N/A 0 Yes <br /> , <br /> N/A- see attached I Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % ands % and s <br /> 1 23 4 5 �I.4I00 Yes o 0 Yes No <br /> 0 �� Type(s): Type(s): <br /> 56 N- ?er -7 Ir-1-7014 �v <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />