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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 1-cC 5 wood NV. Tri Permit No.: 201 - 00150 <br /> t. <br /> Description of work: I V iJ Salts_ r-in j`y IkkidS2., Date Rec'd: 3 t-1r <br /> Septic review by: eUti 1--Wal* Date Approved: <br /> Zoning review by: CL' Date Approved: .5 LL' t <br /> Building review by: -e(1.1 <br /> �'!, Date Approved: 3/4/7//.8 <br /> Grading review by: Y,,,, 1W Qrdtsf C Date Approved: 3' dal 'l 6 <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: 24, ' /AC Width: StrueEtral-kveraVA e: SF .ZI(Q <br /> Survey Submitted: es D No Date of Survey: 3 6 -1 1 0 Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: A3 5 Vl D No lone proposed <br /> Proposed Setbacks: �' e / <br /> Front( e) Rear(Str ) ( N Sc)1N ) ( N S E 0 Other Buildings Wetland <br /> SiSide <br /> 2g' ZAI 1,5 ' -7 5 <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof"(See"building height" <br /> definition): (a) 2 <br /> First Floor Elevation (from building plans): (b) it)30,0q <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) ' L+ <br /> whichever is lower: <br /> Difference between (b) and (c)*: (d) 3 ,ICI <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) �g'V I <br /> If highest existing adjacent grade is below FFE-Height is(a) +(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> No <br /> Met? / <br /> es 0 No Permit Number: 11 / <br /> 3c0 0 Yes 0 No "" N/A 0 Yes <br /> //Y <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 /> 1 2 3 <br /> 111) 5 ��070 is 0 Yes <br /> o D Yes /No <br /> Type(s): Type(s): <br /> 3—1 <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />