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PLAN <br /> pREVIEW <br /> � CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> � <br /> Address: 2.o (Q Cn0 r d My Permit No.: 2Z Ir -(30 A <br /> Description of work: I V V4 tWV--- Date Rec'd: `t' ' <br /> Septic review by: ..3MW I- wak Date Approved:Al tA _ <br /> Zoning review by: k UAA Date Approved: ' <br /> Building review by: Date Approved: <br /> Grading review by: fU� � wQYh61) Date Approved:__ t•IQ <br /> Zoning District: PUP Zoning File M <br /> Resolution? Yes Reso M Reso Date: Signed: Yes No Resolution/ NA <br /> Zoning: Lot Area: /AC Width: St�Coverage: 1 SF •Zc� <br /> Survey Submitted: Yes 0 No Date of Survey: 4'�g Revised date(?): 4-(( f <br /> Landscape plan submitted? 0 Yes Landscaper: A3 Shm n 0 No/ None proposed <br /> Proposed Setbacks: <br /> Front(L e) Rear(Str t) ( N SEE W ) ( N S E ) Other Buildings Wetland <br /> Side Side <br /> � <br /> Z <br /> Buildina Hei ht Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See"building height" <br /> definition): <br /> (a) 'r <br /> First Floor Elevation from building plans): (b) 16 , <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) <br /> whichever is lower: I <br /> Difference between b and (c)*: (d) ?j <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is below FFF-Height is a + d <br /> e Lakeshore Setback <br /> Shoreland District MCWD Permit AveragMet? Bluff <br /> Yes 0 No Permit Number: jr-19(4 0 Yes 0 No - /A 0 Yes o <br /> 0 N/A-see attachedSetback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % ands % and sf <br /> LG16 0 Yes No 0 Yes Q-No <br /> 1 2 3 0 5 Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />