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I PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ,91 V Y I M)A/ 1U► S Permit No.: 2017 — ISL 244* <br /> Description of work: U— Date Date Rec'd: 1 ' L J 7 <br /> Septic review by: A Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: <br /> Grading review by: A Date Approved: 0l 2� <br /> Zoning District: e'' (15 Zoning File M <br /> Resolution? Yes Reso M Reso Date: Signed: Yes N Resolution/ NA <br /> Zoning: Lot Area: 2.57SF AC Width: Structural Coverage: SF _ I _% <br /> Survey Submitted. W<es 0 No ��D1111ate of Survey: l• •t Revised date(?): <br /> Landscape plan submitted? ❑'Yes Landscaper: 'n N &tm, Inc. 0 No / None proposed <br /> Proposed Setbacks: a5Z ' 4 `(p . ,3 1 o5 <br /> 0 .403D <br /> � � <br /> Front( Rear(S et) ( N E W ) (' N' S E W ) Other Buildings Wetland <br /> Ide Side <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 level (per survey) or 10' (c) <br /> above lowest ground level, whichever is lower: Z•� <br /> Difference between b and (c): (d) <br /> Defined Building Height (a) - (d): (e) i <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes <br /> 0 Yes No Permit Number: i l —�I Z 13 Yes No �N/A 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 % ands % and s <br /> 0 Yes No 0 Yes AT 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 />