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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: (010 1Pl r1-h,A 14- COO- Permit No.: 2DI7 - 01%0 <br /> Description of work: N tw OW <br /> • Date Rec'd: _ I • (r' <br /> Septic review by: ii/ 87//7 Date Approved: 1C -e---t- e.ed <br /> Zoning review by: My Date Approved: 1 ('30 ' <br /> 11-1 <br /> Building review by: A1 -ere-4-' Date Approved: //7/z1//7' <br /> Grading review by: f\.6(QVP1 V fLIUdf(144 Date Approved: I I• I S ' t+] <br /> Zoning District: 1.'I.2) Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution I NA <br /> Zoning: Lot Area: $1I(QIq 0 AC Width: Structural Coverage: SF % <br /> Survey Submitted: es D No Date of Survey: 1 I.21 1 Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: AA) (4/0Wr\- pK 5U lJ1 D No/ None proposed <br /> \ 117-- <br /> Proposed Setbacks: <br /> Front(L'ic61 Rear(Stye ( N S cp W ) ( N S E 3 Other Buildings Wetland <br /> SiSide <br /> 13Q ' 511 l cve' <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 plans): (b) cr7 7,2.. <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) (0 ' <br /> r <br /> `- <br /> et� , <br /> whichever is lower: 'TT � <br /> Difference between (b) and (c)*: (d) Z, 8 <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is above FFE-Height is(a) -(d): (e) I�/ <br /> *If highest existing adjacent grade is below FFE-Height is(a) +(d) I'D <br /> Average Lakeshore Setback <br /> Shoreland District MCWD Permit Met? Bluff <br /> Yes D No Permit Number: f - a, D Yes D No ,N/A D Yes "(No <br /> li <br /> D N/A-see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf) <br /> �,�;sG(o D Yes j �No <br /> 1 20 4 5 5-`"W s-F Type(s): <br /> Ye / eNo D Yes Type(s): <br /> -----e <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />