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� � Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: � � � L� ���� ' `� � �� ���' ��� � <br /> Description ofwork v c'����C (.-( ' ,` ����� <br /> Septic review by: I f Date Approved: � �" � <br /> y <br /> � Zoning review by: Date Approved: L/ � � � l � <br /> � <br /> Building review by: � , Date Approved: 2 —22 ` � Z-- <br /> Grading review by: ��� � Date Approved: � ' �� <br /> Zoning File#: � �7��� Resolution#: Resolution Date: � ��� <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Ar a: G ( SF AC Width: Depth: <br /> Surve Submitted: es � No Date of Surve : '— �/ <br /> Y Y <br /> Pro osed Setbacks: <br /> Fron (Lake) ea (Street) ( N S� W ) ( N S E W ) Other Buildings Wetland <br /> Side <br /> l(C�,` Z�}� � -f'` � � N� --- �- <br /> Building Defined Height: ilding Peak Height: #of Stories Ok?: 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basement floor/crawl START the distance between the slab and the highest <br /> space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof, <br /> the cornice of a flat roof, the deck line of a the deck line of a mansard roof, or the <br /> mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type <br /> or other arch-t e roof roof <br /> SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window <br /> hi hest roof eak of a itched roof and hi hest roof eak of a itched roof <br /> SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest <br /> space floor and the highest existing grade within existin rade within the foundation <br /> the foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore S back Bluff <br /> , 0 Yes ❑ No 0 N/A �, � Yes o <br /> 0 Yes N � Yes ❑ No `� <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Va ' nce Required CUP Requ' <br /> 0-75' es 0 No 0 Yes No <br /> 75-250' Type( : Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />