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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: << V/lC( t c i?rlvt Permit No.: 20 K 'CX)2041" <br /> Description of work: kid jVr on Date Rec'd: 2-'2.10 _i X. <br /> Septic review by: cmc �p� j Date Approved: 5/2--1M <br /> Zoning review by: _. ,ii ;, l'a 1‘- iiii Date Approved: '1 ' <br /> Building review by: INIMIlr,,i1111MDate Approved: 34A1Fl <br /> i <br /> Grading review by: Amari % Date Approved: 2//Y/4,-C- l <br /> Zoning District: PR() Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution / NA <br /> Zoning: Lot Area: 15f SF 0 Width: Structural Coverage: SF % <br /> Survey Submitted: "Yes 0 No Date of Survey: g' 7' 17 Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: N /None propose <br /> 26 Proposed Setb IQs: / <br /> Front(L Rear(St et) ( NS E W ) (0 S E W ) Other Buildings Wetland <br /> ide Sid <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof*(See "building height" (a) <br /> definition): <br /> First Floor Elevation (from building plans : (b) <br /> Highest Existing ground level (per =+rvey) or 10' above lowest ground level, (c) <br /> whichever is lower: <br /> Difference between O and(c)*: <br /> 7 <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is above FFE-Height is(a) -(d): (e) <br /> *If hst existing adjacent grade is below FFE-Height is(a) +(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes No Permit Number: 0 Yes 0 No "/A 0 Yes VIVO <br /> AN/A-see attached / Setback: <br /> cc_ ot. o,~ 3 S2-•LX <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf) <br /> 20.Y3 20 . FC7 0 Yes 23-11r 0 Yes <br /> 1 2 3 4 5 <br /> 9(17 3 1q'qZ SfType(s): Type(s): <br /> 13� f 3, <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />