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. PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS d <br /> Address: 2.1543-5 - Permit� � Permit No.: M 1-7 - OC41 T <br /> Description of work: ( 1 W Date Rec'd: <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: /L <br /> Building review by: Date Approved: <br /> Grading review by: Date Approved: Z,S',4/,l /; <br /> Zoning District: r Zoning File M <br /> Resolution? Yes Reso M Reso Date: Signed: Yes No Resolutio,(5 <br /> Zoning: Lot Area: 115 1 M S /AC Width: Structural Coverage: c4c.SF % <br /> Survey Submitted: ,�es ❑ No Date of Survey: - 4/*2-q*11 Revised date(?): <br /> Landscape plan submitted? ❑ Yes Landscaper: � f✓��� ❑ No/ None proposed <br /> Proposed Setbacks: <br /> 0' <br /> l1a l0 <br /> Front�) Rear(St� S E W ) ( N E W ) Other Buildings Wetland <br /> Side Side <br /> Building Height Analysis: <br /> Distance Between First Floor and 4afted Top of (a) <br /> Roof* See "building height" d I ion : <br /> First Floor Elevation (fro uildin plans): (b) <br /> Highest Existi=nd <br /> r nd level (per survey) or 10' (c) <br /> above lowest level, whichever is lower: <br /> Difference ween b and (c): (d) <br /> Defined Building Height (a) - (d): <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Number: 1 -, _ 1,+q E3 Yes C3 No /A 13 Yes <br /> �es 13 No No <br /> ❑ 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 /> I0.(p2,Cb ❑ Yes KNo ❑ Yes No <br /> L <br /> 1 2 D 4 5 Type(s): Type(s): <br /> 1 Z34��' <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />