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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 1 L15 WI ((, <br /> IoL Permit No.: 2)1(0 ~0 or <br /> Description of work: Ai1.f,1,550(y ' t't/ (14Ov( � Date Rec'd: CP-21 -V <br /> Septic review by: yo„ / .jti Date Approved: /2- ' / <br /> Zoning review by: Date Approved: I i' L' / <br /> Building review by: //J (-‘ Date Approved: <br /> Grading review by: A-lk2W1 r lwa Date Approved: I 2'L. ice <br /> Zoning District: KIZ'(V Zoning File#: VQ - 3r1 <br /> Resolution? Yes Reso#: Reso Date: 11.0.'10 Signed: siv No Resolution/ NA <br /> Zoning: Lot Area: 5. 1 SF/0 Width: Structural Coverage: SF % <br /> Survey Submitted: )(Yes 0 No Date of Survey: S 17 .1(0° Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/None proposed <br /> Proposed Setbacks: <br /> Front (L Rear(S et) ( N 1 E W ) ( N S E W ) Other Buildings Wetland <br /> ide Side <br /> 54-' qq'' ?O` 201 <br /> Building Height Analysis: h 'Y---4 <br /> Distance Between First Floor and defined Top of <br /> Roof* (See "building height" definition): (a) <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 /> Defined Building Height (a) - (d): (e) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Number: 0 Yes 0 No XN/A 0 Yes X <br /> 0 Yes o No <br /> XN/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 /> 0 Yes 0 No 0 Yes 0 No <br /> 1 2 3 4 5 Dk.rjrm 10 , Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />