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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 2-3I120 O1IV 4I' 141 I ( Permit No.: 2oI0 " 00047 <br /> Description of work: N N4016C-- • Date Rec'd: 1 . 17 . 10 <br /> Septic review by: �/��� j- Weik- i G <br /> Dare Approved: <br /> H <br /> �{r Da Approved: <br /> Zoning review by: 01 %deli 4 Date Approved: 2 L Y <br /> Building review by: Vy.� Q-( ), Date Approved: C/V/ f� <br /> Grading review by: /!//Z.___ Date Approved: <br /> Zoning District: R Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution I NA <br /> ISCIO <br /> Zoning: Lot Area: 2.' I ,O/AC Width: Structural Coverage: 7.2-410 SF 7.0(p % <br /> Survey Submitted: s ❑ No Date of Survey: 1 .2-'11( Revised date(?): I-25'1 <br /> Landscape plan submitted? ❑ Yes Landscaper: SOL emu", f)11Vb\ ❑ No/ None proposed <br /> Proposed Setbacks: Vp1""' ( GwmAii <br /> IA to <br /> Front(L e) Rear(Str t) ( a S E W ) ( N E W ) Other Buildings Wetland <br /> Side de <br /> 36 , _ tOl (Of <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See"building height" (a) <br /> yy ` � definition): <br /> '�. First Floor Elevation (from buildingplans): (b) 0' <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, " "'=* <br /> C <br /> whichever is lower. � � • .vwAl - <br /> 4 Difference between (b) and (c)*: (d) �Vd OV <br /> tV dst - : <br /> `C` DEFINED HEIGHT <br /> ` =1f highest existing adjacent grade is above FFE-Height is(a)+(d):( e) 7 V'� <br /> Yi N *If highest existing adjacent grade is below FFE Height is(a) (d) <br /> eOD <br /> r <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? ,/� <br /> 0 Yes No Permit Number: I% - as ❑ Yes 0 No p N/A 0 Yes C�'No <br /> 0 N/A-see attached f Setback: l <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf) <br /> ❑ Yes ❑ No ❑ Yes ❑ No <br /> 1 2 3 4 5 *--_.._,_ . . — <br /> a rMpi Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />