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PLAN'REVIEW CH CK.LIIST FOR NEW STRUCTURES / I ADDITIONS <br /> Address: � O) S ei Permit No.: 20K �� 1 <br /> Description of work: 1r t gf I 7941 1 _ 111/x, L ,/ ! Date Rec'd: 3'3D •1 <br /> Septic review by: �C i L ____ Date Approved: _.--( <br /> 4.40 <br /> Zoning review by: / .1.1..4 " Date Approved: A • lU . , <br /> Building review by: afffitagifflr Date Approved: 'r(/ <br /> � v <br /> Grading review by: ABSS` Date Approved: +3 •LX" <br /> Zoning District: R e` . Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/ NA <br /> Zoning:'' Lot Area: 1 SF 0 Width: Structural Coverage: SF % <br /> lu' brhitted: 71'es 0 No _Qate_of.Suwvey: Z•I •I 0 Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 9..*t\V0W WW1) 0 No/ None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Str ) ( N S :1 W ) ( N S E 0 Other Buildings Wetland <br /> Si Side <br /> N16- 140 -}- bq , 14-' <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See "building height" (a) <br /> definition): <br /> E;k <br /> First Floor Elevation (from building plans): 'f (b) <br /> Highest Existing ground level (per survey) ort-0' above lowest ground level, (c) <br /> whichever is lower: <br /> Difference between (b) and (c)* (d) WM <br /> DEFINED HEi <br /> *If highest existing adjacent grade is abol FFE-Height is(a) -(d): (e) <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 /> Permit Number: 2.0n - O,115 0 Yes 0 No 0 Yes /loN/A 0 Yes No0 Yes <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 /> 0 Yes 0 YesNo <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />