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PLAN REVIEW CHECKLISTCFOR NEW STRUCTURES / ADDITIONS <br /> Address: 31� NOM c5Y 00yt.-- tit rs Permit No.: 20 Lir- 002-1 co <br /> W <br /> Description of work: a d 6,0"....- MM .." Date Rec'd: 2-'2-7 LO <br /> 4`60 Sr <br /> Septic review by: Jemv d--w Date Approved: <br /> Zoning review by: ,LLS VII / Date Approved: 3 '23 .i1 <br /> i <br /> Building review by: - `.J A Date Approved: 3A'(ill <br /> Grading review by: L 9 0 6,1 eAW 1 & -u Date Approved: 3' 2.()'LY <br /> Zoning District: —LS Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area:3C))ir01 610 AC Width: Structural Coverage:,2 19 SF 16%46 <br /> Survey Submitted: A Yes ❑ No Date of Survey: 2-"L7 `(0 Revised date(?): ?J'1 C1.1 <br /> Landscape plan submitted? ❑ Yes Landscaper: Pk19,'vV\. ❑ No/ None proposed <br /> Proposed Fi.effiat (Lake) (Street) ( N S Il:/ W ) ( N S E OW ) Other Buildings Wetland <br /> Side Side <br /> 2._35' la ' LIS' <br /> F -- <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) qz <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) <br /> whichever is lower: <br /> Difference between (b) and (c)*: (d) <br /> DEFINED HEIGHT` <br /> *If highest existmnt grade is above FFE-Height is(a)- (d): (e)' <br /> *If highest existi� �acefig 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: ❑ Yes ❑ NoN/A ❑ YesNo <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 /> Lo.7alv L ;asojo 0 Yes /No 0 Yes o <br /> g 2 3 4 57 (05(0 3.F. Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />