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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS- <br /> Address: g1O W143ammW lelfl .A \ Permit No.: 2017 003471 <br /> Description of work: bbl,' °$ ,i_ 1)1 1. 0 L .t.:;.; Date Rec'd: 1 '1 •i 7 <br /> Sem <br /> ''' L S • ._ g(6 / pa hD <br /> Septic review by: €.A ►V� 'i YV a I Date Ap'roved: <br /> Zoning review by: ' / ! Date Approved: 3 '1. �1 Building review by: ' � Date Approved: i_/ <br /> Grading review by: M+3 oaktilQ/i Date Approved: 2.17 '/ 7 <br /> Zoning District: Lg.-Le Zoning File#: <br /> Resolution? Yes . Reso#: Reso Date: - Signed: Yes Ntfgsolution / N <br /> ` <br /> Zoning: Lot Area: '7 SF AC Width: Structural Coverage: SF % <br /> Survey Submitted: les D No Date of Survey: 1•11)•1 Revised date(?): <br /> Landscape plan submitted? "(Yes Landscaper: atl')I 10 rIcc horkis D No/ None proposed <br /> Proposed Setbacks: Mimi' ((p5l -52-5--fob` <br /> F nt(Lake) .pe(Street) ( NS E W ) ( N S E W ) Other Buildings Wetland <br /> ideSide <br /> 1301 __-- 301 g, haaw <br /> Building Height Analysis: <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 levr survey) or 10' (c) <br /> above lowest ground lever, whichever is lower: <br /> Difference between (b) and (c): d) <br /> ,/ (e) <br /> Defined Building Height(a) - (d): <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes 0 No Permit Number: 11 — 07(f• V Yes 0 No D N/A D Yes <br /> 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 /> 2-1-50 70 D YesNo X•49 <br /> D Yes <br /> 9 2 3 4 5 Q l ocs Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />