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Plan Review Checklist for New Structures / Additions <br /> Address/PID/ Legal: 1�'S 1 O S I�r°s�Q�f�.�9oc�� �LpA.,O <br /> Description of work: _ �(}��.���t�-- {�,-�,�,o�p� <br /> Septic review by: "'— Date Approved: <br /> Zoning review by: '— Date Approved: <br /> Building review by: Date Approved: Z—`-1 — I o <br /> Grading review by: � Date Approved: — <br /> Zoning File#: Resolution#: Resolution ate: <br /> Zonin District Fire De artment Post Office School District <br /> Zoning: Lo rea: SF/AC Width: Depth: <br /> Survey Submitted: Yes � No Date of rvey: <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Stree ( N S E W ) ( S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: B ' in eak 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 oor/crawl START the distance between the slab and the highest <br /> space floor and the highest roof p k,the top of WITH roof peak,the top of the cornice of a flat roof, <br /> the cornice of a flat roof,the de line of a the deck line of a mansard roof,or the <br /> mansard roof,or the uppermo 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 e highest window and SUBTRAC half the distance between the highest window <br /> hi hest roof eak of a i hed roof hi hest roof eak of a itched roof <br /> SUBTRACT the distance between e basement floor/crawl ADD the ' ance between the slab and the highest <br /> space floor and the 'ghest existing grade within existin de within the foundation <br /> the foundation or 1 feet, whichever is less. EQUALS Defined buil ' hei ht <br /> EQUALS Defined buildin ei ht <br /> Lot Coverage: SF % <br /> Shoreland Distric MCWD Permit Received Avera e Lakeshore Setback uff <br /> 0 Yes � No � N/A 0 Yes 0 No <br /> � Yes No 0 Yes 0 No � N/A <br /> Permit Number: Setback: <br /> Hardcov Zones Existin Pro osed Variance Re uired CUP Re uired <br /> -75' � Yes � No � Yes 0 No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> EMARKS (in-house): /I/tJ �/-�iq.,�,r� ,(� <br /> � <br /> Updated: 09111l2009 <br /> z:\forms�plan review checklist.docx <br />