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PLAN/ ,REVIEW' C,CHECKLIST FOR NEW STRUCTURES I ADDITIONS <br /> Address: l3Ce V NO'�'�'` l„ 1Il , Permit No.: 2-00r 'D3Lf <br /> Description of work: I056;14,4_ <br /> 96;14,. ` moi 950 4= Date Rec'd: 520*( <br /> Septic review by: 5f,WV 1- WQfu Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: 617V-,C1 ..1.4XDate Approved: .b/115/1/9 <br /> Grading review by: Date Approved: <br /> Zoning District: ii--1,r3 Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution /NA <br /> Zoning: Lot Area: 5{) 1. 0 AC Width: Structural Coverage: SF % <br /> S bmitted: 0 Yes 0 No Date of Survey: <br /> Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: UYkfl l' V\TtN ..A <br /> 0 No/ None proposed <br /> Proposed Setbacks: Mt CIA K ACO\ ,,(p 3 -06 - 1`157 <br /> Front(L e) Rear(St t) ( N S E @/)5 <br /> ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> 3 ' 33' 31 ' Q-oh <br /> Building 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 rvey) or 10' above lowest ground level, (c) <br /> whichever is lower: <br /> Difference between b d : (d) <br /> DEFIN IGHT <br /> *If hig est 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 /> Average Lakeshore Setback <br /> Shoreland District MCWD Permit Met? ,. Bluff <br /> Yes 0 No Permit Number: IT-�CQ f„ 0 Yes 0 No p'N/A 0 Yes fiNo <br /> //ff/E `fes / J <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 4 5 23.ci(Vlo 3/•Q 610 G 0 Yes No 0 Yes / <br /> 0 � XNo <br /> 7 2-7t?S157 3.. Types) Type(S) <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />