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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: /©Z 2 ' C W;`'706(/ ,f/1/0 VO Permit No.: Z...0/7- Ol1T 5Description of work: Date Rec'd: 7/167/7 <br /> 7 <br /> Septic review by: /1//,4 Date Approved: <br /> Zoning review by: Date Approved: <br /> 7 <br /> Building review by: Cf�3Y/L Date Approved: 7lT 2/// <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Ye No Resolution/ NA <br /> Zoning: Lot Area: S' /AC Width: Structural overage: SF % <br /> Survey Submitted: D Yes D No Date of Survey: Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: 0 No/None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( S E W ) ( N - E W ) Other Buildings Wetland <br /> Side Side <br /> Building Height Analysis: <br /> Distance Between First Floor and define. Top of Roof"`(See"building height" (a) <br /> definition): <br /> First Floor Elevation (from building plans): (b) <br /> Highest Existing ground level (per survey) • 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 abov FFE- ight is(a)-(d): (e) <br /> *If highest existing adjacent grade is belgw FFE-H fight is(a) +(d) <br /> // Average Lakeshore Setback <br /> Shoreland District MWD Permit Met? Bluff <br /> 0 Yes 0 No Permit Nuri' er: 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 N/A�ee attached \` Setback: <br /> Stormwater Quality Existing proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (°/4 and sf) <br /> \\ 0 Yes 0 No 0 Yes 0 No <br /> 1 2 3 4 Type(s): Type(s): <br /> , <br /> ti <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />