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PLAN REVIEW/�DCOHE/CKL�I/S�T, FOR NEW�f STRUCTURES / ADDITIONS <br /> Address: 8® l t/�y�Gd' `f�Cs'Ly f/, (" I Permit No.: <br /> Description of work: Date Rec'd: :2_zz 1 <br /> ,z <br /> Septic review by: Date Approved: <br /> Zoning review b 42Date Approved: <br /> Building review by: Date Approved: <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File M <br /> Resolution? Yes Reso M Reso Date: Signed: es No Resolution/NA <br /> Zoning: Lot Area: SF/AC Width: Structur Coverage: SF % <br /> Survey Submitted: 0 Yes 0 No Date of Survey: _7Revised dateM: <br /> : <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( NE W ) Other Buildings Wetland <br /> Side Jie <br /> Buildinq Hei ht Analysis: <br /> Distance Between First Floor and defineTop of Roof*( be"building height" (a) <br /> definition <br /> First Floor Elevation from building plans):\ (b) <br /> Highest Existing ground level (per survey)0 10,a�ve lowest ground level, Mwhichever is lower: <br /> Difference between b and (c)*: (d) <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is above FF -Het ht is(a)-(d): (e) <br /> *If highest existingadjacent rade is below F E-Hei t is a + d <br /> Shoreland District MCWD ermit 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 a ached Setback: <br /> Stormwater Quality isting Pro sed <br /> Overlay District Tier rdcover Hardc ver Variance Required CUP Required <br /> circle one) % and s % an s <br /> 0 Yes 0 No 0 Yes 0 No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\formskplan review checklist 06-2017.docx <br />