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• <br /> PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS- <br /> Address: I Q) ' �r( -{(j W � � 1 Permit No.: - l/I/J/ <br /> Description of work: potKJchd Go L) L 5 SF Date Rec'd: I I ' 15 . 17 <br /> Septic review by: %At V `k-Wtt 1 Date Approved: <br /> Zoning review by: OAIV v`nNI"� Date Approved: 'Z' 240 'd <br /> Building review by: iOO000� Tel fso Date Approved: 11-/-4.•17 <br /> Grading review by: 11/4164 Edwha -+ Date Approved: 1 t . 11 'II <br /> Zoning District: 1-4,-1A" Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/ NA <br /> 3.02- <br /> Zoning: Lot Area: 13 w /AC Width: Structural <br /> Coverage: SF % <br /> . tacySubmitted: 7.es 0 No Date of Survey: 11"114'1,7 Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: P15 3 klfW V\ 0 No/ None proposed <br /> Proposed Setbacks: <br /> F nt(Lake) ar(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> NOV& <br /> Building Height Analysis: D <br /> .. ( t3'0►4L° <br /> Distance Between First Floor and defined Top of Roof* (See"building height" (a) <br /> definition): <br /> First Floor Elevation (from building plans): (b) v13 <br /> j <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) (12 2 <br /> whichever is lower: �J <br /> Difference between (b) and (c)*: (d) I <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is aboveFF€---JIeightis.(a).-_(d): _ (e) 1 <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 No Permit Number: f, _4, 4- 0 Yes 0 No _D-4A 0 Yes o <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 /> `L+,I % 17.'2110 0 Yeso 0 Yes zEIN.Jo <br /> 0 2 3 4 5 Type(s): ////// Type(s): <br /> 11( f 19 23,501-sf, <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />