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. , ► <br /> , � Plan Review Checklist for New Structures / Additions <br /> Address/PI D/Legal: _ � r�O ��/� c� ''C GJADCI <br /> Description of work: <br /> Septic review by: Date Approved: � �"� ��� e( <br /> Zoning review by: Date Approved: � <br /> Building review by: � Date Approved: � Z -Z- o� <br /> Grading review by: n�(/'� Date Approved: <br /> Zonin ile#: Resolution#: Resolution Date: <br /> ` Zonin District Fire De artment Post Office School District <br /> ,. <br /> Zoning: Lot Area: SF/AC Width: �'b�epth: <br /> Survey Submitted: � Yes � No Date of Survey: <br /> Pro osed Setbacks ` <br /> Front(Lake) R�r(Street) ( N S E W ) ( N S E ) Other Buildings Wetland <br /> Side gi <br /> �. <br /> Building Defined Height: Building Peak eight: #of Stories Ok?: � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL�PACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basemen oor/ rawl START the distance between the slab and the highest <br /> space floor and the highest roof peak, �top of WITH roof peak,the top of the cornice of a flat roof, <br /> the cornice of a flat roof,the deck li of a\, the deck line of a mansard roof,or the <br /> mansard roof,or the uppermost int on a roJl� uppermost point on a round or other arch-type <br /> or other arch-t e roof roof <br /> SUBTRACT half the distance between t highest window and SUBTRACT half the distance between the highest window <br /> hi hest roof eak of a i ed roof and hi hest roof eak of a itched roof <br /> SUBTRACT the distance between e basement flooN crawl AD .� the distance between the slab and the highest <br /> space floor and the ighest existing grade within '�. existin rade within the foundation <br /> the foundation or 0 feet, whichever is less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildi hei ht ��, <br /> � �\ <br /> Lot Coverage: �'� SF <br /> f"" �\ <br /> Shoreland Di ict MCWD Permit Received Avera e Lakeshore Setbac Bluff <br /> ��� � Yes � No O N/A ��,� Yes 0 No <br /> O Yes .'� � No � Yes 0 No O N/A � <br /> Permit Number: Setb�k: <br /> Hardcover Zones Existin Pro osed Variance Re uired CUP Re 'red <br /> 0-75' 0 Yes 0 No � Yes D ,No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): T)\� =(Z� � (Z��.,,�,�7 (J�� �v -Z��I�� �SSv�� <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />