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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> �Ogd T Kawk 90Lfi0-117 -0-13g^ 117 -13-CCiI � <br /> Address: A' -il7 '-0�'13 'bOtO Permit No.: 17 _ D14�� <br /> ty <br /> � <br /> Description of work: IV u Hmim Date Rec'd: I 1 .0q. 17 <br /> Septic review by: �iUV'V► 'E— VV�, o�` y//l�Date Approved: <br /> Zoning review by: Date Approved: 2'T - <br /> Building review by: Date Approved: / <br /> Ae 7 <br /> Grading review by: >"m e:Mowu Date Approved: <br /> Zoning District: U,-10 Zoning File M <br /> Resolution? Yes Reso M Reso Date: Signed: Yes No Resolution/NA <br /> 'li'1 I b� <br /> Zoning: Lot Area: S /AC Width: Structural Coverage: SF % <br /> 0 <br /> Survey Submitted: ;�es 0 No Date of Survey: Af 1 Revised dateM: <br /> Landscape plan submitted? ley-es Landscaper: dLy?�?L 1 0 No/None proposed <br /> Proposed Setbacks: I `1 -1-7 <br /> Ft(Lake) Rear(Str t) (( N )S E W ) ( Nlide E W ) Other Buildings Wetland <br /> Side <br /> N , <br /> Buildina Hei ht Analysis: <br /> Distance Between First Floor and defined Top of Roof*(See"building height" (a) /� r <br /> definition): <br /> First Floor Elevation from building plans): (b) ,5 <br /> Highest Existing ground level (per survey)or 10' above lowest ground level, (c) q1 D <br /> whichever is lower: `-d <br /> Difference between b and (c)*: (d) cJ <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade 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 /> Yes 0 No Permit Number: 1-7 • )— Yes 0 No 0 N/A 0 Yes o <br /> .0000 N/A-see attached Selback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % ands % and s <br /> Z(,qqJ0 0 Yes No 0 Yes zEfNo <br /> 2 3 4 5 1512 i Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />