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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 500 l CxVs )1 Rd S Permit No.: 201(0 01343 <br /> Description of work: Nil aI(L; EI t y Date Rec'd: 1.0'L0 .1 co <br /> J /! <br /> Septic review by: 4 A,,,Al iar Date Approved: /0 I / <br /> Zoning review by: ITAD.At ft) Date Approved: 11 . " 1 <br /> Building revieby: // �r� r Date Approved: iI a" / 2 <br /> Grading �b <br /> revs e _ r _ �1 Date Approved: /qZ;.U(y <br /> jj • <br /> �1 1 �'. T "4A o <br /> Zoning DistVi '&'t fi'�'i� Zoning Fiiy#: .'"'• '�'+ � i �- �� <br /> it �.. R1', T <br /> Resolution?'' 'Yes t. Reso#: Reso Date:' ' Signed: le; o Resolution I NA <br /> y � <br /> Zoning: Lot A I a: ta3C1 Of sr, A Width: , _W w , ' Structural Coverage: NIA' SF % <br /> Survey Submitted: XYes 0 No Date of Survey: Q• 2.7. IL0 Revised date(?): <br /> Landscape plan submitted? ' Yes Landscaper: La ( " -_,, 0 No/None proposed <br /> Proposed Setbacks: s V:.�G CC.� ( Q,(eVh . <br /> Front(L e) Rear(Str • J <br /> Side 'ide <br /> (03' 250 ' 03' 66' ________ NilA- <br /> Building Height Analysis: -f <br /> , <br /> Distance Between First Floor and defined Top of ..-\ <br /> Roof* (See "building height" definition): (a) no • <br /> First Floor Elevation (from building plans): (b) C3 f2"1) <br /> Highest Existing ground level (per survey) or 10' (c) qa,(00 <br /> above lowest ground level, whichever is lower: <br /> Difference between (b) and (c): (d) 4--,(D <br /> Defined Building Height (a) - (d): (e) 24 <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Number: `� .....5V 0 Yes 0 No `(N/A 0 Yes <br /> 0 Yes to 1 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 /> J _ 0 Yes No 0 Yes XNo <br /> 1 2 3 4 54e.1Type(s): Type(s): <br /> Updated. October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />