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PLANREVIEW <br /> � CA / ICL E��VIEW CHECKLIST FOR NEWS�j2 (7 TRUCTURES / ADDITIONS <br /> f /Address: dPermit No.: - (rill- <br /> Description <br /> bl¢ <br /> Description of work: 1IA-# 1f' 0 �/ (,_to S ho Date Rec'd: Ca"LT 17 <br /> Septic review by: i ,„ i i, s/7 Date Approved: 7/; 1 // <br /> Zoning review by: / :Al i, ii V Date Approved: S'2,W. 1-1 <br /> Building review by: // f. �` Date Approved: ..--7/ , h 7 <br /> ______ <br /> Grading review by: i Date Approved: 'IAO c-l( - <br /> Zoning District: Imo-I 6 Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes 'o Resolution/ NA <br /> � <br /> Zoning: Lot Aa: s(3"7'! ()AC Width: Structural Coverage: SF yo <br /> Survey Submitted: p4s ❑ No Date of Survey: cp2A-1 15 Revised date(?): <br /> pool howl-prawn, no of0. <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/ None proposed <br /> Proposed Setbacks: <br /> Front 505' �j Rear(St t) ! ( N S E W ( N S E VP Other Buildings Wetland <br /> Side Side <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of (a) <br /> Roof* (See "building height" definition): <br /> First Floor Elevation (from building plans): (b) <br /> Highest Existing ground level (per survey) or 10' (c) <br /> above lowest ground level, whichever is lower: <br /> Difference between (b) and (c): (d) <br /> DEFINED HEIGHT If highest existing grade is: (e) <br /> above FFE-Height is(a)-(d) <br /> below FFE-Height is(a)+(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes No Permit Number: 11 -2)l 1 0 Yes 0 No /A 0 Ye 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 /> ❑ Yes No ❑ Yes Flo <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />