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2016-01336 - addn/remodel/repair
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2695 Pheasant Road - 21-117-23-23-0012
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2016-01336 - addn/remodel/repair
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Last modified
8/22/2023 4:03:20 PM
Creation date
6/27/2018 1:29:57 PM
Metadata
Fields
Template:
x Address Old
House Number
2695
Street Name
Pheasant
Street Type
Road
Address
2695 Pheasant Road
Document Type
Permits/Inspections
PIN
2111723230012
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Updated
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� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: L..�(!"LJ ���.1��t�1�T �� Permit No.: �1 YW • 0��� <br /> Description of work: 2'"' ST UrU �'TGl11����� Date Rec'd: � ���'1•!�!/ <br /> Septic review by: ✓W V� �- W�TVY Date Approved: '-"—"" <br /> Zoning review by: Date Approved: � ( ' 0 ��Y� <br /> Building review by: Date Approved: ��'��� ��v <br /> Grading review by: � � Date Approved: -'—� <br /> Zoning District: ��� Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: �y'���' /AC Width: Structurai Coverage: SF % <br /> Survey Submitted: � Ye��� � IV�o .� Date of Survey: Revised date(?): <br /> � �I On f�1e- dAkd 5-l'7 - S'q <br /> Landscape plan submitted? � Yes Landscaper: � No/None proposed <br /> Pro osed Setbacks: <br /> Front(L,�ti�) Rear(S et) ( N S E W`O 0 <br /> � <br /> � � � ) ( N SO E W � Other Buildings Wetland <br /> Side Side <br /> �, 3L, <br /> Buildinct Heipht Analvsis: <br /> Distance Between First Floor and defined Top of �a� � <br /> Roofi` See "buildin hei hY' definition : � <br /> First Floor Elevation from buildin plans : (b) <br /> Highest Existing ground level (per survey) or 10' ��� <br /> above lowest round level, whichever is lower: <br /> Difference between b and c : (d) <br /> Defined Building Hei ht(a) - d : �e� <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Permit Number: 0 Yes � No �N/A 0 Yes <br /> �es 0 No No <br /> 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 /> �Z. .� Q 0 Yes No � Yes ,0''No <br /> 1 O 3 4 5 Type(s): Type(s): <br /> 313�.5� <br /> � I qg`el S urvv�/ <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />
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