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PLAN REVIEW <br /> R��EVIEW \C( HECKLIST FOR NEW STRUCTURES /^ADDITIONS <br /> Address: 5Ju M O►�V �iyt S Permit No.: 2Lff <br /> Description of work: En-TUIC(- Date Rec'd: �' I <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: 2gn <br /> Grading review by: Date Approved: 3'q ' <br /> Zoning District: 13 Zoning File M <br /> Resolution? Yes Reso M Reso Date: Signed: Yes No Resolution/ NA <br /> Zoning: Lot Area: t02 SF /AC Width: Structural Coverage: SF % <br /> Survey Submitted: ,Pr<es 0 No Date of Survey: 2'(5 ' 0 Revised dateM: <br /> Landscape plan submitted? O Yes Landscaper: 0 No/ None proposed <br /> Proposed Setbacks: <br /> Front(L e) Rear(Str ) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> to N r <br /> Buildina Hei ht Anal sis: <br /> Distance Between First Floor and defined Top of Roof* (See "building height" (a) <br /> definition): <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 KEFGHT <br /> *If highgsrexisting adjacent grade is above FFE-Height is (a)-(d): (e) <br /> *If est existing adjacent grade is below FFE-Height is a + d <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes No Permit Number: 0 Yes 0 No 0 Yes 6J—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 /> 0 Yes — 0 Yes <br /> 1 2 3 4 5 �/� �� Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />