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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> /J <br /> Address: �0 ig® f'(rl I s / Cy(4 4c'q Permit No.: 26949 9/z. 7 <br /> Description of work: /(Ja, iL y. r'H?O d / Date Rec'd: 7/7 fie <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: / <br /> Building review by: �� Date Approved: �/LZ 4g <br /> Grading review by: Date Approved: //! <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: es No Resolution/ NA <br /> Zoning: Lot Area: S /AC Width: Structur I Coverage: SF <br /> Survey Submitted: D Yes D No Date of Survey: Revised date(?): <br /> Landscape plan submitted? D Y=s Landscaper: D No/None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N - E W ) Other Buildings Wetland <br /> Side Side <br /> Building Height Analysis: <br /> Distance Between First Floor and define. Top of Roof* ee"building height" (a) <br /> definition): <br /> First Floor Elevation (from building plans): (b) <br /> Highest Existing ground level (per survey) or 10' wove 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 FF' -Heig,t is(a)-(d): (e) <br /> *If highest existing adjacent grade is below F'E-Heig is(a) +(d) <br /> Shoreland District MCWD •ermit 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-see - ached Setback: <br /> Stormwater Quality xisting Pry'posed <br /> Overlay District Tier ardcover Har•cover Variance Required CUP Required <br /> (circle one)_ (% and sf) (% •:nd sf) <br /> D Yes D No D Yes D 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 />