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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES I ADDITIONS <br /> Address: V$. &d4iyOOti�Wa Permit No.: 201 00575 <br /> Description of work: N(o `p W, Date Rec'd: 3'2 o N <br /> Septic review by: S€JVvC( 'i- Miff Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: ` � i' <br /> 5 , .e, Date Approved: y'/�5/,/6 <br /> Grading review by: 440I YY QtSl011 Date Approved: 4 3 .` ," <br /> Zoning District: 14)1A-C) Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: 11 i 33. �/AC Width: Structural Coverage: SF 0/0 <br /> Survey Submitted: Yes D No Date of Survey: 3•I L '11 Revised date(?): 3• •t0 <br /> Landscape plan submitted? D Yes Landscaper: A3 Sr f YYV, D No/ None proposed <br /> Proposed Setbacks: <br /> O 1 <br /> Front(L ce) Rear(S�t4 ( 0 S E W ) ( NE W ) Other Buildings Wetland <br /> Side ide _ <br /> Zip' Z ' 1 ,., <br /> Building Hei•ht Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See"building height" (a) I�, <br /> definition): <br /> First Floor Elevation (from building plans): (b) I(j3,,,I.q <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (C) <br /> whichever is lower: 1032.0 <br /> Difference between (b) and (c)*: (d) I,9 q <br /> DEFINED HEIGHT <br /> *Ifhighest_existina adjacent grade is-above-FFE--_Heigbas_a)- a- (e) G C <br /> *If highest existing adjacent grade is below FFE-Height is(a) +(d) l `I L <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes D No Permit Number: IcerMD Yes D No N/A D Yes /No <br /> D 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 /> l(p,Laii° D Yes 1/No D Yes /No <br /> 1 2 3 4 5 45l Q.if. Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />