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PLAN REVIEW'Ar �CHECKLIST1/ p�� FOR NEW STRUCTURES / ADDITIONS <br /> Address: O(05 yV 1UXAv WY ii/W C .. Permit No.: 2.-OUP - 0130 1 <br /> Description of work: Aid .Ittt 6 +O eguhrl rift"... Date Rec'd: lb.13 I i) <br /> Septic review by: SC/VY CA 4- '-tr Date Approved: <br /> Zoning review by: /C4'Iil Date Approved: Ii - 51 <br /> Building review by: Date Approved: e®l/ <br /> Grading review by: Date Approved: <br /> Zoning District: W_ YID/ D Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: No Signed: Yes Reolu <br /> stion I NA <br /> I <br /> Zoning: Lot Area: 10 I SF/CI Width: Structural Coverage: SF % <br /> Survey Submitted: ' Yes D No Date of Survey: 5 Z4 -U I Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/None proposed <br /> Proposed Setbacks: 1 I <br /> Front(L r Rear( t)� ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> // Side Side ( , hI ifr <br /> „.---- �5 / ,.---_c, /0 Frc . <br /> Building Height Analysis: (. l 1 <br /> Distance Between First Floor and defined Top of (a) <br /> Roof* (See "building height" definition): <br /> First Floor Elevation (from building plans): (b) <br /> Highest Existing ground level (per survey) or 10' (c) <br /> above lowest ground level, whichever is lower: <br /> Difference between (b) and (c): (d) <br /> / <br /> Defined Building Height (a) - (d): (e) <br /> E2 <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes No Permit Number: 0 Yes 0 No XN/A 0 YesNo <br /> ti( <br /> T\ <br /> Oql/A-see attached Setback: <br /> — <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf) <br /> D Yes o D Yes 13‹.No <br /> 1 2 3 4 5 DROP-- Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />