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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 1VQ'1V ,U11Y I� Permit No.: 2Z 17 — 0' <br /> Description of work: IV tw Date Rec'd: <br /> Septic review by: Date Approved: if <br /> Zoning review by: Date Approved: ��Z�`1 <br /> Building review by: //��,,,,►►,,,,.� �A� ,,�Q Date Approved: <br /> Ll y <br /> Grading review by: 1-}t'NA�'✓tvV(,�/W1�C{�� Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution / NA <br /> Zoning: Lot Area: •Lq SFAC Width: Structural Coverage: SF % <br /> Survey Submitted: /O/Yes 0 No Date of Survey: 10*NX7 Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 13 0 No/None proposed <br /> Proposed Setbacks: <br /> Front(L e) Rear(S et) ( N S E W ) ( N S E Other Buildings Wetland <br /> S Side I�IJJJ <br /> l.�` l-� ¢� L` <br /> Buildina Hei ht Analysis: <br /> ` Distance Between First Floor and defined Top of Roof* (See"building height" <br /> definition): (a) <br /> First Floor Elevation from building plans): (b) <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) O � <br /> whichever is lower: <br /> Difference between b and (c)*: (d) <br /> DEFINED HEIGHT <br /> _l€-highest existing adjacent grade is above FFE-Height-") (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 /> 0 Yes N0 Permit Number: 1613 Yes 0 No A 0 Yes r5&07 <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 % and sf % and sf <br /> 1 2 3 40 1:_44 0 Yes No 0 Yes <br /> Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />