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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> �?� <br /> Address: _ 2q+( cmcc) T016� Permit No.: )-of p - (M+�✓ <br /> Description of work: 1 `Ko �- Date Rec'd: �'1 <br /> Septic review by: &OIA/ ' MIRK Date Approved: <br /> Zoning review by: Date Approved: + <br /> Building review by: Date Approved: <br /> Grading review by: N A- Date Approved: `~ <br /> Zoning District: "(C.", Zoning File M <br /> Resolution? Yes Reso M Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: Z SF AC Width: Structural Coverage: SF % <br /> Survey Submitted: Iles 0 No Date of Survey: I • r2evised dateM: <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No one proposed <br /> a�= <br /> tbacks: <br /> F (Lake) R (Street) ( NE W ) ( � S E W ) Other Buildings Wetland <br /> qide Side <br /> Building Height Analysis: !! <br /> Distance Between First Floor and defined Top of Roof*(See"building height" (a) <br /> definition <br /> First Floor Elevation from building I s : n�� c �y��� (b) <br /> Highest Existing ground level er survey) or 10' Ir J�IJU� (C) <br /> whichever is lower: `C � 11 Q-1 <br /> Difference betwee and (c)*-. , , (d) <br /> WDEFINE EIGHT <br /> *If highest existing adjacent grade is above FFE-Heid (e) <br /> *If highest existing adjacent grade is below FFE-Heic _ <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes 0 No Permit Number: 0 Yes 0 No 0 N/A 0 Yes P-160 <br /> - <br /> /A-see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % ands % and sf <br /> N � 0 Yes No Cl Yes No <br /> 1 2 3 4 5 I Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />