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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 957ckyftt ,"1rpi /%c' Permit No.: ZOO"— X TZ 0— <br /> Description of work: f!// turiiiY ,Ce4'e6 e1C�GIti tem Date Rec'd: 4/e.v1/7' <br /> t • � <br /> Septic review by: , X05,-/ .,,�%�'t Date Approved: 7/5/17 <br /> „,, <br /> Zoning review by: Date Approved: <br /> y <br /> Building review by: C 0‘. Date Approved: 174-1/71! <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes •eso#: Reso Dater, .. _ ' Signed: •s No Resolution/NA <br /> Zoning: Lot Area: SF/AC Width: Structu-•I Coverage: SF % <br /> Survey Submitted: CI es CI No Date of Survey: Revised date(?): <br /> Landscape plan submitted CI Yes Landscaper: CI No/None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Str•et) ( N S E W ) ( S E W ) Other Buildings Wetland <br /> Side Side 7 <br /> -. <br /> Building Height Analysis: <br /> Distance Betwe;n First Floor and • -fined Top of (a) <br /> RoQr,(See "buil•'ng height" defini on): <br /> First Floor Elevati n (from build,g plans): (b) <br /> Highest Existing gr,und level ser survey) or 10' (C) <br /> above lowest groun, level, w ichever is lower: <br /> Difference between .) and c): (d) <br /> DEFINED HEIGHT If hig •st • isting grade is: (e) <br /> above FFE-Height is(a)- d) <br /> below FFE-Height is(a)+ 3 - <br /> Shoreland District MC Pe it Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Numb : CI Yes 0 No CI N/A CI Yes 0 <br /> 0Yes 0 N No <br /> 0 N/A—se attached Setback: <br /> Stormwater QualityExisting Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf) <br /> CI Yes 0 No 0 Yes CI No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />