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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: Ow cl l2Hti Thin Permit No.: 2O1&" <br /> "Oat(ii" <br /> Description of work: / O—bon.s Date Rec'd: 2'43-1(Er <br /> Septic review by: CJS 't- Vv ELL Date Approved: `� <br /> AA <br /> Zoning review by: Date Approved: <br /> Building review by: �) Date Approved: O /`R <br /> Grading review by: N I N Date Approved: --- <br /> Zoning District: 1,,,R-I11- Zoning File#: l% 2fl <br /> Resolution? litp Reso#:t222--- Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: 3 SF/AC Width: Structural Coverage: NA SF % <br /> Survey Submitted: ,"Yes 0 No Date of Survey: 2-• 11 •l7 Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 0 N• None .r•••: - <br /> Proposed Setbacks: <br /> rout(Lake) )44Street) (( Nl S E W ) ( N ( E W ) Other Buildings Wetland <br /> �--� Side .81' e <br /> k\A( NR.0 N 1(... <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof*(See"buil ' height" (a) <br /> definition): <br /> First Floor Elevation (from building plans): (b) <br /> Highest Existing ground level (per survey)or above lowest ground level, (c) <br /> 111 <br /> whichever is lower: <br /> Difference between (b) and (c)*: (d) ViiMI <br /> DEFINED HEIGHT <br /> *If highest existing adj t grade is above FFE-Height is(a)-(d): (: (// <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 No 0 N/A 0 Yeso <br /> 0 N/A-see attached WriQfl(L Q Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf) <br /> l l , c(0]f) /Yes 0 No 0 Yes No <br /> 2 3 4 5 2 Type ): Type(s): <br /> jf-- •1 �Yad <br /> 01 <br /> Wilk] -61 <br /> Updated: June 2017 CtiejVH <br /> S <br /> z:\forms\plan review checklist 06-2017.docx SQA aa-4 (, <br />