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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: #40 9t Ltvt9 ,'6k IL Permit No.:Z i &1(* 7 <br /> Description of work: .. fiery o K /L e edki ! Date Rec'd: <br /> Septic review by: ,P /el'm 9k WA"( Date Approved: <br /> Zoning review by: Date Approved: ,{� ` <br /> Building review by: - � .ii,(..)e 4 <br /> Date Approved: 7U' �! ` 7 <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Re Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: SF/AC idth: Structural C C. erage: SF ok <br /> Survey Submitted: D Yes 0 No Date of Survey: Revised date(?): <br /> Landscape plan submitted? 0 Yes Landsca er: 0 No/ None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N 5 = W ) ( N E W ) Other Buildings Wetland <br /> Side Side <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of -oo° (See"building height" (a) <br /> definition): <br /> First Floor Elevation (from building plans): (b) <br /> Highest Existing ground level (per survey) or 1 e a'ove lowest ground level, (c) <br /> whichever is lower: <br /> Difference between (b) and (c)*: (d) <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is abov• FFE-Height . (a)-(d): (e) <br /> *If highest existing adjacent grade is bel• FFE-Height i (a) +(d) <br /> Shoreland District M D Permit Average Lakeshore Setback Bluff <br /> Met? <br /> D Yes D No Permit Num,,er: 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 N/A— -e attached Setback: <br /> Stormwater Quality Existing Pro sed <br /> Overlay District Tier Hardcover Hard ver Variance Required CUP Required <br /> (circle one) (% and sf) (% an sf) <br /> 0 Yes 0 No 0 Yes 0 No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />