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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS(,, <br /> Address: 152-5 Lut_ blvd Permit No.: 1011 - O1(JO(o <br /> Description of work: N fN You--' Date Rec'd: 12.'1 .11 <br /> jQst t(a I h ,11- -Pelt ot 040,U *more- 0/G a 44_ <br /> Septic review by: SC�/-{� Ar W CA 1 Date Approved: <br /> Zoning review by: C i 0) VA IDate Approved: I •17 ' 1, <br /> Building review by: 6C ,[ „(,,/, Date Approved: /`l(Q fA <br /> Grading review by: AA& ar121t C0 ! Date Approved: 1 ' 10' I <br /> Zoning District: 11-111' Zoning File#: I 1 - 5C1112(12 <br /> Resolution? Yes Reso#: ((25c64''Reso Date: I l •L5 1 7 Signed: Yes No Resolution/ NA <br /> Zoning: Lot Area: 135 SF 0 Width: Structural Coverage: 2-542-SF f tP, - % <br /> Survey Submitted: Yes 0 No Date of Survey: II' 15. ii Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/ None proposed <br /> Proposed Setbacks: <br /> i <br /> F74(Lake) Re (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 Roof* (See "building height" (a) <br /> 57:1 <br /> dfinition)� First Floor Elevation (from building plans): (b) q1$,(1)i <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) X12 <br /> whichever is lower: `� IJ <br /> Difference between (b) and (c)*: (d) <br /> DEFINED HEIGHT <br /> *If-higitest-existing adjacent grade is above FFE-Height is{a)-(d): -- (e) 3ii) <br /> *If highest existing adjacent grade is below FFE-Height is(a) +(d) <br /> Average Lakeshore Setback <br /> Shoreland District MCWD Permit Met? Bluff <br /> Yes 0 No Permit Number: I 1 —(p f a ,Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 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 /> ,0 241,VP/Co 7Yes 0 No 0 Yes o <br /> 02 3 4 5 1 Y-10 $q'3 Ype(s) Type(s): <br /> gegf`lard .1t'' -• <br /> Look dill, t vats 1 <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />