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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 11-30 C/ /45 )-1-ca e ,eedQ/ Permit No.: l/q'~" °070 <br /> 1 I <br /> Description of work: Date Rec'd: ( / (/ //e) <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: cy/,A Z4' Date Approved: A i <br /> Pr <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/ NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF ok <br /> Survey Submitted: D Ye D No Date of Survey: Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: % D No/ None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Height Analysis: / <br /> Distance Between First Floor and defin:d Top of Roof* (See"building height" (a) <br /> definition): <br /> First Floor Elevation (from building plans). (b) <br /> Highest Existing ground level (per survey) wr 10' =bove lowest ground level, (c) <br /> whichever is lower: <br /> Difference between (b) and (c)*: V (d) <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is above E-He•ht is(a)-(d): (e) <br /> *If highest existin2c adjacent grade is below FE-Hei. t is(a) +(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> D Yes D No Permit Number: D Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 N/A-see a ached Setback: <br /> Stormwater Quality E fisting Pro• •sed <br /> Overlay District Tier H rdcover Hardc•ver Variance Required CUP Required <br /> (circle one) (%o and st) (% an. sf) <br /> - <br /> D Yes D No D Yes D 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 />