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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 3 'V1/4/ e_. Permit No.: 2017 - co7Cr <br /> Description of work: /3,00( h 01%. Date Rec'd: 7 (0. 1 1 <br /> Septic review by: ���e it maw 1 w Date Approved: —~ <br /> Zoning review by: C 'e `--- Date Approved: (l' ' 13 11 <br /> � <br /> ...ib.,‘ <br /> review by: c17 ` - Date Approved: RA-PT <br /> Grading review by: 1A M QlilK163 Date Approved: K 4-t 7 <br /> Zoning District: ', lL Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution / NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: i41+ SF _ 1+,50 % <br /> Survey Submitted: 0 No Date of Survey: (Y'17. 0'1 Revised date(?): <br /> �'cl CS"« i 1 <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/ None proposed <br /> Proposed Setbacks: <br /> Ftr (Lake) R�r(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 /> Roof* (See "building height" definition): 2 <br /> First Floor Elevation (from buildin ns): (b) <br /> Highest Existing ground le,. (per survey) or 10' <br /> above lowest ground,,level, whichever is lower: (c) <br /> Difference between (b) and (c): (d) <br /> DEFINED HE HT If highest existing grade is: <br /> above FF -Height is(a)-(d) ) <br /> below E-Height is(a)+(d) — <br /> Shoreland District MCWD Permit ti - Average Average LakNet ore Setback Bluff <br /> Permit Number: f '‘' Yes 0 No 0 N/A 0 Yes o �/ <br /> e713-4es 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 /> 1-I. 1 'VOLZ.(S°7o 0 Yes No 0 Yes <br /> 1 2 3 4 5 sr 5 15 r sf Type(s):ype(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />