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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: __/ & I I ,v L r _ Permit No.: Za6 00010 <br /> Description of work: rvAAD kbYYNQ____, Date Rec'd: 1112 I `t <br /> N <br /> SeSeptic review by: SW/ 'f- wai-u �� <br /> P ) � Date Approved: <br /> Zoning review by: CIADate Approved: I.25 •l 8 <br /> Building review by: (ice / , _c- -r Date Approved: =,L <br /> Grading review,by: ►r t ail)Sett I Gi41Date Approved: I '2-2- '1 K* <br /> Zoning District: V-1^)v D Zoning File#: OV-6110 "e_ exvV <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution /NA <br /> Zoning: Lot Area:I/4lb ®/AC Width: Structural Coverage: .�iii�u. SF % <br /> Survey Submitted: ti Yes D No Date of Survey: `2 L U I Ili Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: D No/ None proposed <br /> Proposed Setbacks: 'A <br /> Front(Lae) Rear(Street) ( N S E 11 ) ( N S (E W ) Other Buildings Wetland <br /> Side V Side <br /> � ' �S <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See "building height" <br /> definition): (a) 2k <br /> First Floor Elevation (from building plans): (b) b <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) 'Mn P,1 7 <br /> whichever is lower: uJ�-�i a <br /> Difference between (b) and (c)*: (d) .1 <br /> DEFINED HEIGHT <br /> *If highest existirrg adjacent_.gradis-abeve-FFE—Heightis-(a)=(d). (e) ZGl ,, <br /> *If highest existing adjacent grade is below FFE-Height is(a) +(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> es D No Permit Number: \1 - D Yes 0 No )24/A 0 Yes p4o <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 /> 15.16/0 0 Yes e,12-‹ D Yes ,Gelleo <br /> 1 2 3 v 141 ,, a 3�N�J sf <br /> 5 Type(s): Type(s): <br /> cjc;PVIC2- <br /> 0• wit) , 11 nce_. tit a <br /> pdated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />