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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �"�(% / �2 6J Permit No.:70/gg ,01.5R <br /> Description of work: 4134 �, '� s' i Date Rec'd: 7/9"/W <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: 4Date Approved: .77/v/ <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Sign : Yes No Resolution I NA <br /> Zoning: Lot Area: S AC Width: S uctural Coverage: SF <br /> Survey Submitted: 0 Yes 0 No Date of Survey. Revised date(?): <br /> Landscape plan submitted? 0 Ye Landscaper: 0 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 t op of -oof* (See "building height" (a) <br /> definition): <br /> First Floor Elevation (from building plans): (b) <br /> Highest Existing ground level (per survey) or 0' 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 abov FFE-Height's(a)-(d): (e) <br /> *If highest existing adjacent grade is bel• FFE-Height I (a) +(d) <br /> Shoreland District MC D Permit Average Lakeshore Setback Bluff <br /> Met? <br /> D Yes 0 No Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 N/A—se: attached \ Setback: <br /> Stormwater Quality Existing Propos-d <br /> Overlay District Tier ardcover Hardco -r Variance Required CUP Required <br /> (circle one) (% and sf0 (% and s I <br /> D Yes D No D Yes 0 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 />