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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 2_3'O 3Koid i OXY f t Permit No.: 2017 -01011' <br /> Description of work: i;k t !, 0— "Ali 1 ' & 01 Date Rec'd: -23 -1 -7 <br /> Kia Septic review by: j L. YV a Date Approved: <br /> 14rZoning review by: Date Approved: /0/06// <br /> Building review by: IIA6, i� Date Approved: qz 51l7. <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution I NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF ok <br /> Survey Submitted: CI Yes 0 No Date of Survey: Revised date(?): <br /> Landscape plan submitted? CI Yes Landscaper: CI No/ None proposed <br /> Proposed Setbacks: IV l <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of (a) <br /> Roo* (See "building height" definition): <br /> First Floor Elevation (from building plans : (b) <br /> Highest Existing ground level .- rvey) or 10' (c) <br /> above lowest ground lev- , ' ichever is lower: <br /> Difference betty sr)-and (c): (d) <br /> DEFIN EIGHT If highest existing grade is: (e) <br /> e FFE-Height is(a)-(d) _ <br /> below FFE-Height is(a)+(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Number: 1:1Yes CI No N/A CI Yes <br /> 13 Yes No No <br /> ci N/A–see attached • <br /> Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf) <br /> CI Yes [ No CI Yes 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 />