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' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES /!ADDITIONS <br /> Address: 1 2X+ W• tdhU►Sf TeCtiviPermit No.: ) 200 1 . O K 3 <br /> Description of work: N V Date Rec'd: _`' 11. 17 <br /> 56A1V. %W U Ap 'l�s -I^'eSeptic review by: I r� Date Approved: S <br /> Zoning review by: All '.it ft i Date Approved: JC)5 <br /> Building review by: Date Approved: [ 2,5"/ <br /> Grading review by: I1 r OF <br /> Grading , Date Approved: I • 2A r 17 <br /> Zoning District: -t Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area:41,2.0 ®AC Width: Structural Coverage: SF % <br /> Survey Submitted: /lees 0 No Date of Survey: ct.2Sf'Li Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: tr5 sI lmn 0 None pro s;;ed) <br /> Proposed Setbacks: Ql' I SAink 6 'l'i -fq' -01- <br /> !ph"(ake) fteI (Street) (C) S E Wim) ( N S E W�) Other Buildings Wetland <br /> Side Side <br /> 10 (o`N l(f) 35 ' 41 I <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof*(See"building height" (a) ,�n <br /> definition): L...G- <br /> First Floor Elevation (from building plans): (b) 615(0,-1 <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) Qsq,. 0 <br /> whichever is lower: <br /> Difference between (b) and (c)*: (d) 2,1 <br /> DEFINED HEIGHT <br /> *If highest existing adja eat^FBeleeis-above.FF 7S a - (e) Al <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 /> Yes 0 No Permit Number: �_ 11 -Ai 92Kes 0 No 0 N/A 0 Yes 0 No <br /> 0 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 /> V5cgt.)--- 0 Yes - 0 Yes o <br /> 0 2 3 4 5 / 1-3-F Type(s): Type(s): <br /> L(Ag •r5Clb <br /> Updated: June 2017 lam' ql/ <br /> I-3-r; <br /> z:\forms\plan review checklist 06-2017.docx <br />