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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES I ADDITIONS <br /> Address: 2M-5 5 ( t V of !'h 11 Permit No.: 2.017 CoV. 2- <br /> Description of work: NAfv' ' J4,. Date Rec'd: (I/ .LZ'17 <br /> L.L 'F W a�k r` ' sic. <br /> Septic review by: ,� ` Date Approved: <br /> Zoning review by: ' 4 q !! Date Approved: 1-I L-•11 <br /> Building review by: Al9r -,AiWit 1 Date Approved: 7//10//71! (0 !r <br /> GradiOg review by: A41/412m Cdwurs GN%' Date Approved: (0"2'L7 '(-7'f t•VI <br /> Zoning District: VD_ Zoning File#: • ' y <br /> Resolution/ Yee Reso#: Res Det$• .. Signed: Yes No Resolution /NA <br /> Zoning: Lot Area: Ig{5 T I s/AC Width: '► Structural Coverage: SF % <br /> Survey Submitted: 7/es ❑ No Date of Survey: (0 • I4" 17 Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: - Q�',,, .0 fiVig..) <br /> 0 No/ None proposed <br /> frOWVProposed Setbacks: <br /> C (MAW <br /> Front (L e) Rear(Str ) ( N • S E W ) ( N S E it )4 Other Buildings Wetland <br /> Si Side <br /> Building Height Analysis: <br /> CDDistance Between First Floor and defined Top of <br /> `0 ,1. ( <br /> Roof* (See "building height" definition): (a) 24- <br /> (� First Floor Elevation (from building plans): (b) t(C7q,75 <br /> 6Highest Existing ground level (per survey) or 10' (c) <br /> k� above lowest ground level, whichever is lower: 0,3 <br /> Difference between (b) and (c): (d) 9.15 <br /> Defined Building Height (a)-fid): (e) 2 ' 75 <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Number: (1 — ZQ( � 0 Yes 0 No N/A 0 Yes227 <br /> Yes 0 No _b YNo <br /> 0 N/A-see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) a (% and sf) (% and sf)®6) /� <br /> 4" 1$.2-� ❑ Yes 1! No ❑ Yes t\lo <br /> 1 2 3 5 ,7(,_ „ ' %5 Type(s): / Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />