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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: MO DU croiBa4 124 5 Permit No.: 2017 - coif/ <br /> Description of work: DediC rebut * 1- •g /'Q'A,d Date Rec'd: A • 14--1 7 <br /> Septic review by: <br /> .4/(I,(7\ ' 2:445--.4 Date Approved: lCe <br /> Zoning review by: .'. Date Approved: • 6917 <br /> Building review by: U /( 1 .,�� Date Approved: 4 / <br /> r <br /> Grading review by: "•' Date Approved: — <br /> Zoning District: gR- LE Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resoluti•100 <br /> Zoning: Lot Area: if. ,OZ S /AC Width: Structural Coverage: Nil- SF -- % <br /> Survey Submitted: pf4s D�Nom fur✓ Date of Sur ey:_i i• 2...i•4 5 Revised date(?): <br /> M.t S ,y p c u <br /> Landscape plan submitted? D Yes Landscaper: D No None proposed <br /> Prosed Setbacks: <br /> O p <br /> (\t__/F o f Rear( t) ( N a E li) ( N S E W ) Other Buildings Wetland <br /> Side Side• _ <br /> 115' 158• ,. l <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 buildin• e - s): (b) <br /> Highest Existing ground = - (per survey) or 10' (c) A <br /> above lowest groun• -vel, whichever is lower: <br /> Difference bet , -en (b) and (c): (d) V <br /> Defi •d Building Height (a) - (d): (e <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes D No Permit Number: D Yes D No N/A D YesNo <br /> 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 /> 5,Vii) 61540 D Yes /21/No D Yes o <br /> 1 2 0 4 5 ' Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />