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PLAN, [, REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONhhS��, <br /> Address: 540 15 1tS(.Qtrt6--1 Permit No.: 2j -OD w <br /> Description of work: <br /> (3iS!'�"� - rU1, Date Recd: '& '1 <br /> Septic review by: Date Approved: <br /> Zoning review by: itkc'eS4r1N---- Date Approved: 2. . 1 L ' t r <br /> 67Building review by: C)5 -1, Date Approved: Z./i Z// 3 <br /> Grading review by: l rn eJInil tS I OM Date Approved: 2.• a ( y <br /> Zoning District: I`5 Zoning File#: 11 -3q KC) <br /> Resolution? Yes gReso#: CA2-0 Reso Date: IL (•17 Signed: Yes No Resolution/ NA <br /> Zoning: Lot Area: .52.. SF/AC Width: Structural Coverage: SF % <br /> Survey Submitted: fices D No Date of Survey: I•'7' t 0 Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: D No/ None proposed <br /> Proposed Fj.edt(Lake) (Street) ( N S 43)W ) ( N S E W ) Other Buildings Wetland <br /> Si• Side JO WI KW-, <br /> 2-`"f-` 2-L4 3 ' — (P.1 <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See "building height" (a) I <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 /> Average Lakeshore Setback <br /> Shoreland District MCWD Permit BluffMet? <br /> Yes D No Permit Number: 0 Yes 0 No N/A 0 Yes l/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 /> 1146°70r Yes 0 No 0 Yes o <br /> AP 2 3 4 5 Z!(Dct sr A (s) Type(s): <br /> ,5hu "K- ad ► k_. <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />