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PLAN REVIEW n � <br /> � CHECKLISTT FOR NEW STRUCTURES / ADDITIONS <br /> Address: 4325 `�ILW C.Ctik f.frPermit No.: « -0)1,1 <br /> Description of work: ' f-gond i (glso sf Date Rec'd: 3.12- •15/ <br /> ) <br /> Septi review by: / ;" 4- o _________ Date Approved: V/4/----A-62 <br /> Zonin review by: ��.�� Date Approved: • 15' l 0 <br /> Builds g review by: lir 1 ,_Ai, Date Approved: ./// 1-//16 <br /> Grading review by: Ire 1 I. edward3 ((4W Date Approved: 3. 1311/ <br /> Zoning District: Re_( ' Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/ NA <br /> Zoning: Lot Area:1 2. 2 AC Width: Structural Coverage: ! ik SF % <br /> Survey Submitted: es D No Date of Survey: 3 'q' l ( Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: l6 Sha/V4 Ø( f Y 0 No/ None proposed <br /> Proposed Setbacks: <br /> Q� <br /> Front(L e) Rear(St t) ( N S E W ) ( N 0 E W ) Wetland <br /> Side de x;105 tiwor <br /> -- (pif I V)' CIO t ID ' <br /> Building Height 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 survey) or 10' 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 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 /> /Yes D No Permit Number: 0 Yes 0 No A/N/A 0 Yes ,No <br /> see attached / Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> 1: (circle one) (% and sf) (% and sf) <br /> �.Rlno 0 Yes No 0 Yes pJ" No <br /> 1 2 03 /// <br /> �S4�g st. <br /> Updated: Jane 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />