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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: $d IKes1 eco/ Paricway <br /> Permit No.: OltVI* 201(0 0 01 <br /> Description of work: Noll S n l - Pi1'YUty kat- Date Rec'd: 12--i _I(0 <br /> Septic review by: 1-7-61-.4-) Date Approved: / 2 */rte <br /> Zoning review by: Date Approved: G'3 ''1 <br /> Building review by: 1"..:(>4Date Approved: / /i' // <br /> Grading review by: r r 11 d WUt V Date Approved: fl'- (L I ( <br /> Zoning District: ge"(.13 Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes o Resolu on NA <br /> Zoning: Lot Area: n7 /AC Width: Structural Coverage: SF % <br /> Survey Submitted: s 0 No Date of Survey: 10 '(-7' / ( Revised date(?): <br /> Landscape plan submitted? Yes Landscaper tO vie(I(m11-4 0 No/None nr^posed <br /> Proposed Setbacks: <br /> SOU-) <br /> Front(L ) Rear(S et) ( N SCE) W ) ( N S E ) VV...4:Y` ni <br /> Side' Side <br /> b ` 173 ' 52' . j ' i p . <br /> Building Height Analysis: _ 41`�' <br /> Distance Between First Floor and defined Top of <br /> Roof* (See "building height" definition): (a) 1 '1(01 <br /> First Floor Elevation (from building plans): (b) qq 31 <br /> Highest Existing ground level (per survey) or 10' (c) 4 2 r 00 <br /> above lowest ground level, whichever is lower: <br /> Difference between (b) and (c): (d) '',, 2.. <br /> Defined Building Height(a) - (d): (e) 45 <br /> 0( <br /> Shoreland'District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes 0 No' Permit Number iii- Y3(V 0 Yes 0 No AN/A 0 Yes 34,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) (% and sf) (%and sf) <br /> 3 4 5 11.15.90 (0q010 0 Yes ( (lo 0 Yes No <br /> 1 di) <br /> l0 (0 4. 'B 3 f Type(s): Type(s): <br /> Updated: October 2016 <br /> vaforms\plan review checklist 10-2016.docx <br />