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I PLAN REVIEW CHECKLIST <br /> � FOR NEW STRUCTURES // ADDITIONS <br /> Address: 1(1(Pq U 1� 11� t~V�-� Permit No.: 2Lo —oowo <br /> Description of work: ) Date Rec'd: �'L`1•�7 <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: 10- 2_+11`1 <br /> Building review by: 1 o / VV Date Approved: to-Z4- <br /> Grading review by: Vy Date Approved: <br /> Zoning District: Zoning File M <br /> Resolution? Yes Reso M Reso Date: Signed: Yes No Resolution / NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % <br /> 0uli itted: ❑ Yes ❑ No Date of Survey: Revised dateM: <br /> Landscape plan submitted? ❑ Yes Landscaper: ❑ No/ None proposed <br /> Proposed Setbacks: <br /> 7Ffi't(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Buildina Hei ht 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 survey) or 10' above lowest ground level, (c) <br /> whichever is lower: <br /> Difference between b and (c)*: (d) <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) <br /> "If highest-6xisting adjacent grade is below FFE-Height is a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> s ❑ No Permit Number: es ❑ No ❑ N/A ❑ Yes ❑ o <br /> ❑ 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 /> Cl Yes No ❑ Yes No <br /> 1 2 3 4 5 >n` ._— Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />