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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: -20(005 wa kyfowa I' Permit No.: 2-or-wq3l <br /> Description of work: SCT l� �b1'C t Tabu Date Recd: <br /> Septic review by: 4Date Approved: OZ <br /> Zoning review by: y Date Approved: o -2-3`t—j <br /> 12"Building review by: Date Approved: f <br /> Jor <br /> Grading review by: 4V Date Approved: <br /> Zoning District: 1>i3 Zoning File M <br /> Resolution? Yes Reso M Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: 2-i55 SF AC Width: Structural Coverage: SF % <br /> Survey Submitted: E3 YesS 6-Ascap <br /> Landscape plan submitt6d? I � Yer. <br /> Date of Survey: Revised date(?): <br /> - e 0 No/None ed <br /> des L n d <br /> Proposed Setbacks: <br /> Front( e) Rear(St et) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of (a) <br /> Roof See "building height" definition <br /> First Floor Elevation from buildi ans : (b) <br /> Highest Existing ground I (per survey) or 10' (c) <br /> above lowest roun el, whichever is lower: <br /> Difference be n b and (c): (d) <br /> DIEFINEDA116GHT If highest existing grade is: (e) <br /> abov E-Height is(a)-(d) <br /> bek5w FFE-Height is(a)+(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Number: 0 Yes 0 No �oA 0 Yes <br /> 0 Yes XNo 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 /> N0 Yes 0 Yes o <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />