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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 2-4f2,":5- 0 (I-W gjL Permit No.: 2o17"10 1100 <br /> Description of work: A djI fi CIA-- Date Rec'd. � � ` c <br /> Septic review by: 5-2WV L W a `' Date Approved: <br /> Zoning review by: Date Approved: •2 'l <br /> Building review by: ll Date Approved: <br /> Grading review by: A, am Wad[ Date Approved: Q'L2' 17 <br /> Zoning District: Lf,—113 Zoning File#: <br /> Resolution? Yes Reso M Reso Date: Signed: YesNo Resolution/ N <br /> Zoning: Lot Area: g �'�LSF AC Width: Structural Coverage: SF % <br /> Survey Submitted: Yes 13 No Date/off Survey: q_(p 1 Revised dateM: <br /> Landscape plan submitted? 0 Yes Landscaper: 0 /None propose <br /> Proposed Setbacks: <br /> 7 j fo t� <br /> Front(L � Rear("t) (�N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> 2,1 N C� <br /> Buildinq 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 (per surveabove lowest ground level, (c) <br /> whichever is lower: <br /> Difference between b an *- (d) <br /> DEFINED HE T <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 /> Cees No Permit Number: 0 Yes 0 No N/A M Yes r \N0 <br /> ,/ N/A-see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % ands % and s <br /> 3� b �� qb 0 Yes o 0 Yes o <br /> 1 3 4 5 Type(s). Type(s): <br /> 5(� s� 5to3( , <br /> (C� <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />