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PLAN REVIEW <br /> ry C�,pH�ECKLILST FOR NEW STRUCTURES /�A^DDITIONS <br /> Address: 2lo -1 'v u''w poy4- Lam ., <br /> Permit No.: 2bi p -00613 <br /> Description of work: ?cd eMLpWrt-- Date Rec'd: l u <br /> Septic review by: SMeY I- W(If ,/' Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: <br /> Grading review by: N Pr Date Approved: <br /> Zoning District: LA-18 Zoning File#: 1-7 - IP <br /> Resolution? Yes Reso M Reso Date: I' L7'17 Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: Igg5mfF/AC Width: Structural Coverage: SF % <br /> Survey Submitted: 0 Yes 0 No Date of Survey: Revised dateM: <br /> Landscape plan submitted? 0 Yes Landscaper: AW 0 No/ None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Buildinq Height 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, M <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) <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 /> es 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 s <br /> t <br /> , Yes 0 No 0 Yes 0 No <br /> 2 3 4 5 1�`I' Type(s): Type(s): <br /> 2 0 c6v <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />