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PLAN REVIEW CHECKLIST FQR NEW STRUCTURES / ADDITIONS <br /> Address: 1 l'i+ VY 1 (40 lS f 7i-a4) Permit No.: 2017 - Q,'57q <br /> -wild Rvet <br /> Description at viork jc P by: J VO1 (Lt Date Rec'd: 124'1-7 <br /> ' 4- r<-1-Bt.ini PP <br /> ails <br /> Septic review C'e'Jw Wei I Date Approved: <br /> Zoning review by: Date Approved: 11-" 2Jo i <br /> Building review by: " r Y- Date Approved: _ <br /> kart Grading review by: �'�CJ art �ctwa l W.) Date Approved: 1 Z'2-Co' ti <br /> Zoning District: 4.'1_8 Zoning File#: <br /> Resolution? Yes,,{{ Reso#: Reso Date: Signed: Yes No Resoluti�Jj <br /> a <br /> Zoning: Lot Area: 41, 240SF/AC Width: Structural Coverage: SF % <br /> Survey Submitted: 'Yes 0 No Date of Survey: \'2 Li . 17 Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 45 Sir ma' NV 0 No/ None proposed <br /> Proposed Setbacks: <br /> Fr ((Lake) Re (Street) (0 S E W ) ( N 4g, E W ) Other Buildings Wetland <br /> Side - de <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See "building height" <br /> definition): (a) I-05) <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 existing adjacent grade is below FFE-Height is(a) +(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> 7PermYes 0 No <br /> it Number: 0 Yes 0 No N/A 0 Yes "1-"KO <br /> NLA-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 /> I . -070 0 Yes ErNo 0 Yes No <br /> IP2 3 4 5 1 I (? Type(s): / Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />