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PLAN REVIEW CHECKLIST FpO�R NEW STRUCTURES / ADDITIONS <br /> Address: 1(9 2 ct n *Nit r Permit No.: 2-01,/r- 00214' <br /> Description of work: Adell11 1 htatiVre fi/) -taw at(le_. Date Rec'd: 1-L7 '1xp <br /> Septic review by: 5 WV Q,r 1-11UU Date Approved: <br /> Zoning review by: Cillk Date Approved: 3.7' re <br /> Building review by: f/',A•t Date Approved: g/ 7/ /R <br /> '`.-Grading review by: fM Ur low) Date Approved: l5. 2-* Ice <br /> Zoning District: '16 Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: ?J'1,(pN1AC Width: Structural Coverage: SF yo <br /> k Submitted: Cislites 0 No Date of Survey: 5.2 L .15 Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/None proposed <br /> Proposed Setbacks: <br /> to <br /> t(Lake) Rear(St et) ( .1)1 S E W ) ( N S E W ) Other Buildings Wetland <br /> Side ''Side <br /> 0 U ti 1 ' ico ( 1-c' ' <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof"(See"building height" (a) �r 75 <br /> definition): <br /> First Floor Elevation (from building plans): (b) CI30,5 <br /> Highest Existing ground level (per survey) or 10'above lowest ground level, (c) `l q%) A <br /> whichever is lower: <br /> Difference between (b) and (c)*: (d) , 5 <br /> DEFINED HEIGHT <br /> - _ (e) 2-i,L5 <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: Yes 0 No 0 N/A 0 Yes No <br /> 74 -see attached Setback: <br /> Y <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (%and sf) (% and sf) / <br /> - ,n 3L 2-1010 0 Yes B,�lao 0 Yes o <br /> 411) 2 3 4 5 1 '1 q—.y .p Type(s): Type(s): <br /> � JUS �f <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />