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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 'N-o -mn 6awa- Ep�? Permit No.: ZOLL -Oa3l90 <br /> Description of work: -a&P4 ' Date Rec'd: ✓ � ' C� <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved:—+ <br /> , '� O <br /> Building review by: J Date Approved: <br /> Grading review by: W Date Approved: <br /> Zoning District: 'I IE> Zoning File M 11 3q51 <br /> Resolution? Yes ddReso#:I Reso Date:ALa_- 1_1 Signed: Yes No Resolution /NA <br /> Zoning: Lot Area: •O SFAC Width: Structural Coverage: SF % <br /> Su5n M, Iv <br /> l: <br /> � <br /> : � 0 s No Date of Survey: 1' 2 <br /> w/1.1 ( Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: Ya&UY210 _7_2&1-7 0 No/ None proposed <br /> Proposed Setbacks: Unn(ri Q52—• 06�• 27 "1 <br /> Fr t(Lake) R�(Street) ((N�S E W ) ( N E W ) Other Buildings Wetland <br /> / ��....// Side de <br /> N �v 51 ' 5 ' <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof*,S6e"building height" (a) <br /> definition <br /> First Floor Elevation from building lans : (b) <br /> Highest Existing ground level (per ey) or 10' above lowest ground level, (c) <br /> whichever is lower: <br /> Difference between b c *: (d) <br /> i <br /> DEFINEDHE T <br /> "If highest sting adjacent grade is above FFE-Height is(a)-(d): (e)// ED <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 /> Yes 0 No Permit Number: _ 0 Yes No N/A 0 Yes No <br /> 0 N/A-see attached U_ CUSetback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and sf % and sf <br /> 2Z-772-0b. Yes 0 No 0 Yes o <br /> 1 2 3 4 5Type(s): Type(s): <br /> I(P, N/W <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />