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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: i G 5(HCiv / '� ori V`� Permit No.: `1� OG ? <br /> Description of work: /�Qwtmde £4142,W€✓' Date Rec'd: i/ ' /tB <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: tI4; ;;A�I a.7,606 Date Approved: 1/ / f <br /> Grading review by: �/ Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution I NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF ok <br /> Survey Submitted: D Yes D No Date of Survey: Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: D No/ None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(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 /> definition): <br /> First Floor Elevation (from building plans): (b) <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) <br /> whichever is lower: <br /> Difference between (b) and (c)*: (d) <br /> DEFINED HEIGHT <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 /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Cl Yes D No Permit Number: D Yes D No D 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 /> D Yes D No D Yes D No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />