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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 2..?oQ Wa(Mers 2)f: - Permit No.: 2-01-7 -OMP <br /> Description of work: lt= boy) Date Rec'd: <br /> Septic review by: MCA d- W G1 kY` Date Approved: <br /> Zoning review by: Date Approved: 2- <br /> Building <br /> Building review by: - L Date Approved: <br /> Grading review by: Date Approved: Z�/,�r <br /> Zoning District: L Zoning File#: -7 -311'70 <br /> Resolution? Yes Reso M Reso Date: { ' 1.7` 1 Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: /'1R /AC Width: Structural Coverage: SF % <br /> NIS <br /> Survey Submitted: ,Q4es D No Date of Survey: _10 '26* r7 Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: Ou S h((V1(1 to D No/None proposed <br /> Proposed Setbacks: AV, 1 ' - lfn (JQ� �'`� r <br /> Fr t(Lake) ar(Street) ( N�S E W ) ( N S E W ) Other Buildings Wetland <br /> Side 'Side <br /> oididn 5 ' C..• 3 <br /> Buildin Hei ht Analysis: <br /> Distance Between First Floor and defined Top of Roof"(See"building height" (a) <br /> definition): <br /> First Floor Elevation from building plans): (b) , <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) lifil f <br /> whichever is lower: <br /> Difference between b and (c)*: (d) <br /> DEFINED HEIGHT <br /> 'If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) ED <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes D No Permit Number: Yes D No D N/A D Yes D No <br /> D N/A-see attached 0 r'; k1(,ri -- Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % ands % and s <br /> �,SqD 13,0010 Yes D No D Yes D No <br /> 2 3 4 5 _r Type(s): Type(s): <br /> l (ate ZS4'fJ �s or, 75r stfWx- <br /> (00 <br /> 1�y�7�51 54baLK. I <br /> Updated: June 2017 _�W r�'� - �n�� �. y�� <br /> z:\forms\plan review checklist 06-2017.docx 7 - 1Q11— <br />