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. PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ��� �1711 P— �• Permit No.: !.�� l ' ��� <br /> Description of work: Date Rec'd: (D'�-�I•�^] <br /> Septic review by: J[�[� �''" W �� Date Approved: �~ <br /> Zoning review by: Date Approved: �� ' �' � <br /> � � <br /> Building review by: — Date Approved: � f <br /> � <br /> Grading review by: Date Approved: 1G/ r�'JL l� <br /> I ,�) ! � <br /> Zoning District: �--I' , ,i:J Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: �� ' �� �.- �"F%AC Width: Structural Coverage: SF % <br /> c " }� :.. _� <br /> S��$'ubrhi t f ed: � Yes � No Date of Survey: Revised date(?): <br /> _ �' , . . <br /> Landscape plan submitted? � Yes Landscaper: > �,�{���:�_.) � � . ♦�� ti.- 0 No/ None proposed <br /> Pro osed Setbacks: <br /> �nt(Lake) �(Street) ( N S E� W ) ( N S E !� Other Buildings Wetland <br /> � Si�le Side <br /> __. �� � , , <br /> � i�,�� <br /> Buildinp Heiqht Analvsis: � <br /> Distance Between First Floor and defined Top of ,�-- <br /> Roof See "buildin hej hY' definition : �a� � 'J <br /> First Floor Elevatio � from buildin lans : (b) <br /> , <br /> Highest Existi �ground level (per survey) or 10' ��� <br /> above low round level, whichever is lower: ;�' <br /> Differe e between b and c : (d) <br /> DEFINED HEIGHT If highest existing grade is: <br /> _ above FFE-Height is(a)-(d) <br /> below FFE-Height is(a)+(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Number. 0 No � N/A 0 Yes <br /> Yes � No No <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 s % and s <br /> ' � J'� 0 Yes -l� � Yes '-Pb <br /> � 2 3 4 5 ( � <br /> � _ _ �_i._ TYPe(S)� TYPe(S)� <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />