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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 5,,r' 5 l�/ ��'�... vd��X„ Permit No.: 215-- )7 <br /> Description of work: I v Vw Date Rec'd: 3' 1 • Lu <br /> / i "t.. f3v•1'f'�f�,-'e- l'1 Z1 -Ft 54-G. (AI it Blued) <br /> Septic review by: �/ i--- vDate Approved: <br /> Zoning review by: CY I C IA Date Approved: A . 11 . L 1 <br /> -4 <br /> Building review by: 04 e�� Date Approved: 3A07/0'% '4-1-.11 1 <br /> Grading review by: i {� alucutirn Date Approved: <br /> Zoning District: L-'"' K-' Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolutio tI <br /> Zoning: Lot Area: it f tO SF/AC Width: Structural Coverage: lqo D SF 133 <br /> Survey Submitted: pKes D No Date of Survey: 3 5 .1 ' Revised date(?): _ <br /> Landscape plan submitted? D Yes Landscaper: A5 show ►1D N / None propose <br /> Proposed Setbacks: <br /> 3D 1a lb <br /> ( e <br /> Front j� Rear( et) ( N S W ) ( N c' E 10) Other Buildings Wetland <br /> Si le <br /> 101 5 f ' 27 ' <br /> Building Height Analysis: <br /> 4Distance Between First Floor and r' qht" a <br /> definition): � ' 23+J <br /> First Floor Elevation (f,: t j (b) 64 3 <br /> Highest Existing ground1- 3 ,i (c) n5�/ <br /> whichever is lower: I i 11 <br /> Difference between (b) ano (d) j , <br /> DEFINED HEIGHT <br /> *If h" acent ) Z7.3 <br /> *If highest existing adjacent grade is <br /> Shoreland District MCW, shore Setback Bluff <br /> Met? <br /> es 0 No Permit Number: _ Yes 0 No N/A 0 Yes "o1‘ <br /> 0 N/A-see attache, L6 I 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 No 0 Yes No <br /> 1 2 0 4 5 33 kt1.s f Type(s): Type(s): <br /> 1AtcM4ed 2-S90 Ao c1- Qv wie --. <br /> Vc�lana <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />