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PLAN REVIEW CHECKLIST <br /> FOR NEWSTRUCTURES / ADDITIONS <br /> ` <br /> Address: ` ! + �` n dW t� ILO-co' Permit No.: W 7 <br /> Description of work: 49WY4 1waprt _G Date Recd: <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: <br /> loe <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File M <br /> Resolution? Yes Reso M Reso Date: Signed: Yes No Resolution/ NA <br /> Zoning: Lot Area: SF/AC Width: Structural overage: SF % <br /> Survey Submitted: 0 Yes 0 No Date of Survey: Revised dateM: <br /> : <br /> Landscape plan submitted? 0 es Landscaper: 0 No/None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N E W ) Other Buildings Wetland <br /> Side Side <br /> Buildina Hei ht Analysis: <br /> Distance Between First Floor and efined Top of Roof'(Se "building height" (a) <br /> definition): <br /> First Floor Elevation from building lans : (b) <br /> Highest Existing ground level (per srvey) or 10' abovewest ground level, M <br /> whichever is lower: <br /> Difference between b and (c)*: (d) <br /> DEFINED HEIGHT <br /> *if highest existing adjacent grade is abov FFE-Height is(a)-(d): (e) <br /> *if highest existingadjacent rade is below FE-Hei h is a + d <br /> Shoreland District MCWD Pe it Average Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes 0 No Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 N/A—see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % ands % and sf <br /> 0 Yes 0 No 0 Yes 0 No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: June 2017 <br /> zAforms\plan review checklist 06-2017.docx <br />