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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: IOW W i ldhursI Trail Permit No.: 2o 7 - 0057 <br /> Description of work: T2€. Date Rec'd: 4 "k, '17 <br /> Septic review by: .Jw tt ' MA/ Date Approved: <br /> Zoning review by: /� •• Date Approved: 4.13 7 <br /> Building review by: /'oui1 , Date Approved: -/ l�`T l7 <br /> 1_ <br /> Grading review by: NA- _ Date Approved: <br /> Zoning District: LR'I Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: YesNN No Resolutio1 <br /> Zoning: Lot Area: 7J'/ I3 /AC Width: Structural Cov'ieiL: 3l- SF (.40-5Z Bio <br /> Survey Submitted: "ces 0 No Date of Survey: Revised date(?): <br /> Landscape plan submitted? p'Y/es Landscaper: 3O V; t$( V1 0 No/None proposed <br /> Proposed Setbacks: / VCf. .011 — lci(p <br /> F nt(Lake) (Street <br /> ( N S W ) ( N S E W ) Other Buildings Wetland <br /> Si a Side <br /> 1110' 1W # t3' <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of (a) <br /> LI** <br /> Roof* (See "building height" defini ' : <br /> First Floor Elevation (from b ' ing plans): (b) ril/ z- <br /> Highest Existing ground-lvel (per survey) or 10' (c) <br /> above lowest group level, whichever is lower: <br /> Difference betty n (b) and (c): (d) <br /> Defined ilding Height(a) -(d): (e) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Number: VINYes 0 No 0 N/A 0 Yes , <br /> es 0 No7( <br /> No <br /> /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 /> 5.(ouzo tLe. 110 0 Yes Plo 0 Yes Te44,_ <br /> d 2 3 4 5 I� In L IZ` Type(s)• Type(s): <br /> 4055F <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />