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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 3100 Nom 51(10K. kAPtI Permit No.: 210El ' 0O21( <br /> Description of work: t t i itik 4 4514k-*R.r Date Rec'd: 2-27 ' II( <br /> Septic review by: 3e.J ii J�,` �1-/-ye` 3w Q,�,t Date Approved: y <br /> Zoning review by: � aM�1�►J Date Approved: ' 2.3 .1 O <br /> Building review by: �` Date Approved: 34 /49 <br /> Grading review by: _ Date Approved: 20/1,..,4-c ( 5 <br /> Zoning District: Le...-6 Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: 39i MI SF/AC Width: Structural Coverage: „,i'%(9 SF Ib•4S % <br /> Survey Submitted: %Yes 0 No Date of Survey: 2-'L-7 • IX Revised date(?): 3-ic1 t 0 <br /> Landscape plan submitted? 0 Yes Landscaper: A7 344Y 0 No/None proposed <br /> Proposed Setbacks: <br /> F t(Lake) ar(Street) ( N S EW ( N S E g):5 <br /> Other Buildings Wetland <br /> CIL' MC. IS; Side <br /> llte <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 sure or 10'above lowest ground level, (C) <br /> whichever is lower: <br /> Difference between (b) and (d) <br /> DEFINED HEIGHT <br /> *If highest existin jacent grade is above FFE-Height is(a)-(d): (e) ME <br /> *If highest existing adjacent grade is below FFE-Height is(a) +(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes 0 No Per it Number: / <br /> Yes 0 No 0 N/A 0 Yes 2/No le <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 /> � 2.0.1010 24..14110 0 Yes /No 0 Yes ,I�No <br /> ( 1 1 2 3 4 5 Type(s): Type(s): <br /> `.J <br /> -1(15(e Sr <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />