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� � <br /> � <br /> . Plan Review Checklist for New Structures / Additions <br /> Address/ PID i Legal: ,--(,I�.'�' (\��,Y � f`•.L�� I � � I {;'1;�.:��� <br /> Description ofwork: �� ) 1�J��} <br /> Septic review by: Date Approved: � � <br /> Zoning review by: �; � ��� Date Approved: '� i�+ J � , <br /> Building review by: Date Approved: 1 — � 1 — � 'Z <br /> Grading review by: ,'��� �'� Date Approved: �'����,� �� <br /> ; <br /> ` Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> � �` �J <br /> Zoning: Lot Area: �,�� SF AC� Width: Depth: <br /> Survey Submitted: �'Y�es 0 No Date of Survey:� �� I`�,� 2.�t � I �' ' <br /> Pro osed Setbacks: <br /> r- <br /> `�ron�(Lake) Re�(Street) ( N S E W ) ( N S E �`) Other Buildings Wetland <br /> Side Side � <br /> _ -� % � � �U - ���� , „:� � rr , ����, , f�- <br /> R�_ _ <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: � 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 Setback Bluff <br /> Yes � No � N/A /' � Yes o <br /> � Yes ,�No ❑ Yes ,.� No � N/A � <br /> Permit Number: ��v i� — �"'� Setback: <br /> Hardcover Zones Existin Proposed Variance Re uired CUP Requir ! <br /> 0-75' � Yes No 0 Yes No <br /> 75-250' Type(s): '; Type(s): <br /> � <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09(11/2009 <br /> z:\forms\plan review checklist.docx <br />