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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 40 lff(("I ©lam- Sh DA, Permit No.: tori -0165-7 <br /> Description of work: Date Recd: <br /> �. ...:r <br /> Septic review by: 'Saw- W U -- Date Approved: <br /> Zoning review by: Date Approved: Co ' <br /> Building review by: � M Date Approved: ELI z <br /> Grading review by: Iy is Date Approved: <br /> Zoning District: L 03 Zoning File M <br /> Resolution? Yes Reso M Reso Date: Signed: Yes olution/NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % <br /> Survey Submitted: 0 Yes lArNo Date of Survey: Revised dateM: <br /> Landscape plan submitted? 0 Yes Landscaper: 0 N one propos <br /> Proposed Setbacks: <br /> Fr t(Lake) Ular(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Buildin Hei ht 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 (persUrvey)or 10' above lowest ground level, (c) <br /> whichever is lower: <br /> Difference between-(b) and (c)*: d) <br /> DEFTHEIGHT <br /> T ' hest 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 /> /P- es No Permit Number: 0 Yes 0 No N/A 0 Yes o <br /> -see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and sf % and s <br /> 0 Yes No 0 Yes No <br /> O 2 3 4 5 No Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />