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PLAN REVIEWEVCJH�,E/CK,LIS,T/ FOR NEW STRUCTURES / ADDITIONS <br /> Address: 2 ?J Ei�Jdt .Q lrO(/t Way Permit No.: 201x" ow109 <br /> Description of work: NI VA i4 ' u -. Date Rec'd: 1 *1 C1.1 r <br /> Septic review by: SPAN fii I--- IA1 9 ttV - Date Approved: �'r <br /> 4Zoning review by: �i1 VD Date Approved: Z'5 '1Y <br /> Building review by: �I'm C �i kill Date Approved: 2.2'jr 2. 5 <br /> Grading review by: / Cfrn Date Approved: l i3 <br /> Zoning District: 12piAD Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area:' L. 11- D AC Width: Structural Coverage: SF ''----' % <br /> Survey Submitted: es D No Date of Survey: 1 '4(0 1 p Revised date(?): 1:55'I.0 <br /> Landscape plan submitted? D Yes Landscaper: 45 S WVIJV\ GtA Y10V\-tly" <br /> D No/ None proposed <br /> Proposed Setbacrs: <br /> 41 <br /> Front(L a Rear(Str . ( N SE 11P ) ( N S E Other Buildings Wetland <br /> SiSide <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See "building height" <br /> definition): (a) 1 <br /> First Floor Elevation (from building plans): (b) l,034-..5 <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) 1032_ <br /> whichever is lower: <br /> Difference between (b) and (c)*: (d) Z.,.:-') <br /> DEFINED HEIGHT <br /> if - -'is in. .•.. - • .de is above-F —Heigh (e) 1-7 , <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 /> Yes 0 No Permit Number: ��� 0 Yes 0 No /A 0 Yes /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 /> 2i,(6O O 0 Yeso 0 Yes o <br /> 1 2 3 0 5 -0 l.- L( 6..E. Type(s): // Type(s): <br /> P&L 3f-- = 42_8 Fr12-. <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />