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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 'b� 1-on'�/ {.YV V - Permit No.: XI7 - W734- <br /> Description of work: Nt ��u�-� Date Rec'd: _ to'Lq'1 7 <br /> Septic review by: / '} W� Sum '� ✓IDate Approved: <br /> Zoning review by: Date Approved: 1-7. <br /> Building review by: Date Approved: 2 <br /> Grading review by: 4om e:: lJW M3 Date Approved: g 'l '1 7 <br /> Zoning District: Zoning File M 11 'J?-!��(4 <br /> Resolution? es Reso M L0153 Reso Date: +•l� '� / Signed: Yes No Resolution/ NA <br /> Zoning: Lot Area: 7 OM SF/AC Width: Structural C-otverage: SF % <br /> Survey Submitted: Yes ❑ No Date of Survey: 3 ' l Revised date(): <br /> Landscape plan submitted? ❑ Yes Landscaper: ❑ No/ None proposed <br /> Proposed Setbacks: <br /> Fr t (Lake) Rr(Street) ( © S E W ) ( NS E W ) Other Buildings Wetland <br /> Side 'fide <br /> �., / L t <br /> Buildingeight�►nalysis: <br /> Distance Between First Floor and defined Top of (a) <br /> Roof See "building height" definition): <br /> First Floor Elevation (from building plans): (b) fi(pQ,00 <br /> -�� Highest Existing ground level (per survey) or 10' (c) <br /> q p <br /> above lowest round level, whichever is lower: I{Q� <br /> Difference between b and (c): (d) 0� <br /> DEFINED HEIGHT If highest existing grade is: <br /> (e) <br /> above F <br /> below FFE-Height is(a)+(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Number: 11 _ ��� 13 Yes 13N/A 13 Yes <br /> Yes E3 No No <br /> ❑ N/A-seeattached a (,� Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % andr�ssf % and s <br /> 1 2 3 4 5 154070 C( 07c) Yes PP90 Cl Yes No <br /> 11 'l0v(s). t ,� TYPe(s) <br /> amc-0tV(4j -LMjt* LOWY— <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />