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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: nQ VV t MrV W• -S Permit No.: M17 — ok39(P <br /> Description of work: Date Rec'd: (0 <br /> Septic review by: :;�- -1/hC V- Date Approved: <br /> Zoning review by: Date Approved: 11,M <br /> Building review by: Date Approved: II <br /> ZI� L17 <br /> Grading review by: / Date Approved: 211 <br /> Zoning District: Zoning File M <br /> Resolution? Yes Reso M Reso Date:, Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % <br /> ± r unied: es 0 No Date of Survey: q'LL'1 Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/None proposed <br /> Proposed Setbacks: <br /> Front( e) Rear(Stped) ( N S E W ) ( N S E W j Other Buildings Wetland <br /> Side Side <br /> to <br /> Buildin Hei ht Analysis: <br /> Distance Between First Floor and defined Top of Roof*(See"build4utfieight" (a) <br /> definition): "� <br /> First Floor Elevation from building plans): (b) <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) , <br /> whichever is lower: <br /> Difference between end (c)*: (d <br /> DEFT EIGHT <br /> *If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) <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 /> 0 Yes –Z—r--8 Permit Number: 0 Yes 0 No 0 Yes o <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 0 Yes <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: June 2017 <br /> zAforms\plan review checklist 06-2017.docx <br />