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PLAN REVIEW CHECKLIST <br /> ` IFOR NEW STRUCTURES / ADDITIONS <br /> Address: 1(0IE ' <br /> 5 W bel Y Permit No.: �1 I']-01(0(6 <br /> Description of work: NOV - tWO 1-- ,rn10(.1 f Date Rec'd: I2 Z7 • 1 7 <br /> Septic review by: WOW W SeitAY Date Approved: <br /> Zoning review by: Date Approved: I . ' 1 u <br /> Building review by: „p4'‘v Date Approved: 1 <br /> Grading review by: Adair dW4rttJ/uv\ Date Approved: I ' t <br /> Zoning District: KpUD Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution /NA <br /> Zoning: Lot Area: Vth-CI SF/AC Width: Structural Coverage: N A. SF ok <br /> Survey Submitted: Yes D No DateZ ,z <br /> of Survey: I ' b'(7 Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: A6ShaWr1 a No/ None proposed <br /> Proposed Setbacks: <br /> Front( e) Rear(St et) ( 0N S E W ) ( N QS E W ) Other Buildings Wetland <br /> Side 'Side <br /> 3, (0 / © ' <br /> 1it <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See"building height" <br /> definition): (a) n• <br /> First Floor Elevation (from building plans): (b) n32-,(p <br /> �e, Highest Existing ground level (per survey) or 10' above lowest ground level, (c) 1 " <br /> \c) gyp' whichever is lower: �Q ,tU <br /> 9.51/v l ) Difference between (b) and (c)*: (d) 1;(7) <br /> DEFINED HEIGHT <br /> *If highest-existing_adjacent grade is - •• - :- (e) 21 <br /> ) <br /> *If highest existing adjacent grade is below FFE-Height is(a) +(d) /� E <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes T "o Permit Number: 11 , 0 Yes D NoA 0 Yes 71/No0 N/A-see attached r ' Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf) <br /> D Yes )2r-No D Yes /No <br /> 1 2 3 0 5 �("P OA Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />