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' • ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES I ADDITIONS <br /> Address: 7413 r K(21 l.�I 4 Permit No.: 2_01S"-00+5/ <br /> Description of work: A(LQ)> A( 31106141/c-- 10(10 .f. Date Rec'd: 4_-1 r <br /> I(ILS <br /> Septic review by: /VHI► 1-- VV tl R Date Approved: <br /> Zoning review by: OniA i '_-, Date Approved: 5. 11 .t v <br /> Building review by: Date Approved: <br /> Grading review by: N Date Approved: ___—.~ <br /> Zoning District: 1.16 Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution /NA <br /> Zoning: Lot Area: 2576L- SF/AC Width: Structural Coverage: SF % <br /> ubm te� d:-5es 0 No Date of Survey: Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: D No/ None proposed <br /> Proposed Setbacks: <br /> Front( e) Rear(Str ) ( N E W ) ( N S E W ) Other Buildings Wetland <br /> cl <br /> e Side <br /> 11 ' is <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof*(See "building height" (a) <br /> definition): <br /> --'---- <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 (b)and (c)*: (d) F---....* <br /> DEFINED GHT <br /> "If highestexisting 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 /> Yes 0 No Permit Number: 0 Yes 0 No / 1/A 0 Yes q�tcro <br /> 41/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 /> 1 2 3 4 5 ZZ'Lo� 42•(04010 D Yes No 0 Yes o <br /> 5^101 S-F Z51-s.�- <br /> Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />