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'PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: `) W, I-W 21r S Permit No.: �7 ' ooqJ 0 <br /> Description of work: tw l ►v V`k� Date Recd: <br /> y• <br /> Septic review b • ` a/rte s�`lD to Approved: <br /> pproved: Z� <br /> Zoning review by: Date Approved: q ,✓ <br /> Building review by: Date Approved: l �7 <br /> Grading review by: Date Approved: <br /> Zoning District: M,-113 Zoning File M �(0 -3�� 9w* KwY./ <br /> Resolution? Yes Reso#: Reso Date: 10404 Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: I-t)L SF/AC Width: Structural Coverage: SF % <br /> Survey Submitted: 3f-Yes O No Date of Survey: �G'��- 1 Revised dateM: <br /> r{/ N0(VO- T I J-I.1 <br /> Landscape plan submitted? 0 Yes Landscaper: Shawn o None proposed <br /> Proposed Setbacks: <br /> Front(L�) Rear(Str t) ( \.J S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Qide <br /> 2-1- 03 H-4 - ' <br /> Building Height Analysis: �l^�"' <br /> Distance Between First Floor and defined Top of <br /> Roof* See "building height" definition): (a) 12, <br /> First Floor Elevation from building plans): (b) q57, <br /> Highest Existing ground level (per survey) or 10' (c) q_%17 <br /> above lowest round level, whichever is lower: <br /> Difference between b and (c): (d) <br /> DEFINED HEIGHT If highest existing grade is: (e) m <br /> abeve-FFE-Height is(a)-(d) 3.0 <br /> below FFE-Height is(a)+(d) <br /> Shoreland District MCWD ermltAve ge Lakeshore Setback Bluff <br /> Met? <br /> a Yes C, No <br /> Permit Number: 7 0 Yes 0 No -W/A 0 Ye No <br /> 0 N/A—see attached nfo Setback: <br /> 2-5 J <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % ands % and s <br /> 0 Yes o 13 Yes <br /> 1 2 3 4 05 p�/ Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />