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PLAN�( REVIEW CHECKLIST FOR NEW c STRUCTURES I ADDITIONS <br /> Address: 4L 3 d Ciit\E Kci .5 Permit No.: -.-0 I?"0 (GL <br /> Description of work: N CJVv �-1.rDate Rec'd: TiI -17 <br /> Septic review by: `i / le ' Date Approved: Zi <br /> Zoning review by: ii 1, .0.!y`- Date Approved: 0' '11 <br /> Building review by: i .c i : /_ Date Approved: IC? q <br /> Grading review by: MOM alVUardion Date Approved: 0.5. 7 <br /> Zoning District: f1K''(.V Zoning File#: <br /> Resolution? Yes <br /> � ResoReso#: Date: Signed: Yes () Resolution/NA <br /> 1 i) <br /> Zoning: Lot Area: l t-p !! SF ACo Width: Structural Coverage: SF % <br /> Survey Submitted: s 0 No Date of Survey: Z. .1 7 Revised date(?): 10 '17 <br /> Landscape plan submitted? 0 Yes Landscaper: OL(2 GO r--- POO 0 No/None proposed <br /> Proposed Setbacks: q--K-1-/ <br /> 3ti .G' <br /> Front OeT Rear Treet) (CN S E W ) ( N S E W ) Other Buildings Wetland <br /> Side �Bf'de <br /> i1( ' 133' CO3 ` ilicl <br /> Building Height Analysis: • <br /> Distance Between First Floor and defined Top of Roof*(See"building height" (a) ,7(..,.?definition): L.6 <br /> First Floor Elevation (from building plans): (b) qs(p, <br /> Highest Existing ground level (per survey)or 10'above lowest ground level, C/ <br /> whichever is lower: (o) 0 ,1 <br /> Difference between (b) and (c)*: (d) ], (p <br /> DEFINED HEIGHT <br /> . .. :: - • . (e) 29, <br /> !f highest existing adjacent grade is below FFE-Height is(a) +(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> / Met? <br /> 0 Yes No Permit Number: (i ( Z 0 Yes 0 No �N/A 0 Yes Ar-'No <br /> 0 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 /> 0 Yes ANo 0 Yes o <br /> 1 2 3 4 5 )(-e, Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />