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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES I ADDITIONS <br /> `n <br /> Address: Z.`t/ r: Cac10 P Permit No.: 201 CD 40 <br /> Description of work: NEW 1 <br /> ) Date Rec'd: 1 I <br /> 1 II-- Ill) <br /> Septic review by: 5?.AAJ CA N(I Date Approved: .••••••••••••=. <br /> Zoning review by: Va CA!JJ.i '_ Date Approved: 5 , t d <br /> 7' <br /> Building review by: R..0 0 '? 4i () Date Approved: 5. 16 <br /> Grading review by: 4kOTVA LAAVklar6 Date Approved: 5 i A7 <br /> Zoning District: L— Zoning File#: l <br /> 6 <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: 11,CGGi SF/AC Width: C;67 Structural Coverage: ariSF % <br /> Survey Submitted: Yes ID No Date of Survey: 43111c9111 Revised date(?):"1 141 It <br /> Landscape plan submitted? D Yes Landscaper: T-4Al r'a : i D No/None proposed <br /> Proposed Setbacks: 1, i'1� S � ������ <br /> , 0 4 �' i <br /> SCJ" <br /> q (r <br /> Lake) Rear(Street) (1 N1 `S E W ) ( NQde <br /> E W ) Other Buildings W land <br /> �.J Side r-i- i-vb 1.,) , ...„. fl <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See"building height' <br /> definition): (a) R51 '(12._ 2S.2� <br /> First Floor Elevation (from building plans). ` n Y} (b) <br /> i <br /> esko ( ) <br /> Highest Existing ground level (per surve lvel, GlL� <br /> whichever is lower: <br /> Difference between (b) and (c)*: Sr(\k . (d) Ina 31q2_. <br /> Qt014 kp _ <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is above F, k , IWO(e) ago <br /> *If highest existing adjacent grade is below FF ,7j f 1 <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Number: L1c ` 20 4, Yes D No D N/A D Yes p No <br /> 94es 0 No <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) % nd sf) (% and sf) <br /> ttAagr) b "lJ `p D Yes o D Yes 0-,No <br /> 1 2 3 4 54w f` Type(s): Type(s): ( <br /> /:#5 DVC eb <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />