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PLAN EREVIEW <br /> t�yCHECKLIST <br /> �(FOR NEW STRUCTURES / ADDITIONS <br /> ' Address: So(c6 JQv QW f_ ed -- Permit No.: 2°11 Otoscif <br /> Description of work: aLK--C r'Q 0U' 1a - SI�^^J Date Rec'd: a• 1 .t <br /> �,,r& V�� <br /> oAvti e t h4 r�faccvL <br /> Septic review by: 5C/�V - w` . V Date Approved: <br /> Zoning review by: Ci i v Cori Date Approved: Cr'2-4.o -(7 <br /> Building review by: ��, „, Date Approved: CI\✓214 -t 7 <br /> Grading review by: VA- Date Approved: --- <br /> - <br /> Zoning <br /> - <br /> Zoning District: R K-Ll3 Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution / NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF 0/0 <br /> . u y Submitted: Arces D No Date of Survey: Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: )No/ None proposed <br /> Proposed Setbacks: <br /> Front(1.....9k6 Rear(St et) ( N S (0 W ) ( N S E /W/) Other Buildings Wetland <br /> Si Side ll// <br /> plc iqz) NIS IJo ' <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See "building height" (a) <br /> definition): <br /> First Floor Elevation (from building plans): ,,-� _ (b) <br /> Highest Existing ground level (per survey) or 1. aa'"bove lowest ground level, c <br /> whichever is lower: ( ) <br /> Difference between (b) and (c)*. i (d) <br /> DEFINED HEIGHTr' <br /> *If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) <br /> *If highest existing adjacent grade is below FFE-Height is(a) +(d) <br /> Average Lakeshore Setback <br /> Shoreland District MCWD Permit BluffMet? <br /> Permit Number: 0 Yes 0 No ya4A 0 Yes No <br /> d Yes 0 No . <br /> fErN/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 2 3 4 5 / <br /> D Yes /No D Yes I7'gl0 <br /> i " L'"/ �V Type(s): Type(s): <br /> » OW e i]ii'c ( ci(oti"/ <br /> __/ <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />