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• PLAN REVIEW CHECKLIST FOR NEW STRUCTURES //��.JADDITIONS <br /> Address: 1,(�_WV_B1�1YL PermitNo.: L. 1 / —61J(a) <br /> Description of work: ) Date Rec'd: 0.1'L'1•f'7 <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: 10- 2—+11 <br /> Building review by: 'NU�I/W 0 /VV r Date Approved: <br /> Grading review by: VAI Date Approved: <br /> Zoning District: A Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution / NA <br /> Zoning: LCCo((tt�Area: SF/AC Width: Structural Coverage: SF % <br /> .Stnv y ubrhitted: 0 Yes 13 No Date of Survey: Revised date(?): <br /> Landscape plan submitted? 13 Yes Landscaper: 0 No/ None proposed <br /> Proposed Setbacks: <br /> 7Fni'(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 /> d <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is above FFE-Height is(a) -(d): (e) <br /> *If highest 4xistinadjacent grade is below FFE-Height is a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> rxs 13 No Permit Number: es 0 No 0 N/A 0 Yes D INO <br /> 40 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 /> ( E3 Yes No 13 Yes No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />