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, � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> AddresslPermit Number: ZSO [ZJA NN �Z-of� <br /> Description of work: C�SZ'�I�L a'�+g�=MVvs'"'" ��n.�tiSt� <br /> Septic review by: l�1fA Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: w.- Date Approved: �' ��' ��3 <br /> Grading review by: N/✓� Date Approved: <br /> oning District: Zoning File#: Reso#: Reso Date: <br /> Zo ' g: Lot Area: SF/AC Width: Lot Coverage: SF _% <br /> Surve ubmitted: O Yes 0 No Date of Survey: Revised date . : <br /> Pro osed etbacks: <br /> Front(Lak Rear(Street) ( N S E W ) ( N S E W ) Other Bui ings Wetland <br /> Side Side <br /> � <br /> Defined Height: Peak Height: FFE: FFE minus 6 eet= (Existing Contour) <br /> Perimeter(linear feet) = 50% _ #of Stories Ok? 0 YES <br /> FOR A BUILDING WITH A BASEMENT O CRAWL SPACE: <br /> The distan between the lowest FOR A BUI ING ON A SLAB FOUNDATION: <br /> START WITH proposed flo (of the basement or crawl <br /> space)and the hest point of the roof. START WITH The distance between the top of slab and <br /> If you have a... the highest point of the roof. <br /> If you have a... <br /> • GABLE OR HI D ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtra half the windows): Subtract half the distance <br /> distance between th ighest point between the highest point of the roof <br /> of the roof to the low p t of the to the low point of the corresponding <br /> SUBTRACTION corresponding gable or h ed roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF ith (BASED ON . GABLE OR HIPPED ROOF(with <br /> T�'PE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> distance between the top of the between the top of the highest <br /> highest window and the highest window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER ROOF TYPES( t, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):No subtracti . mansard,etc:No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance betwee e (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenUcrawl space floor nd the EXISTING the foundation. <br /> GRADES) highest existing grade ad cent to the GRADES <br /> foundation OR 10 feet hichever is less). EQUALS Defined building height <br /> EQUALS Defined building ght <br /> Shoreland District CWD Permit Received Avera e Lakes re Setback Met? Bluff <br /> Yes 0 No 0 N/A � Yes 0 No <br /> 0 Yes 0 No 0 Yes 0 No 0 N/A <br /> Permit Number: Setback: <br /> Stormwater Qu ity Existing Proposed Variance Required UP Required <br /> Overla Distri Tier Hardcover Hardcover <br /> 0 Yes 0 No Yes 0 No <br /> Type(s): Type(s . <br /> Updated: nuary 2013 <br /> v:\formsl an review checklist 2013.docx <br />