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� ' �Plan Review Checklist for New Structures / Additions <br /> ' Address/ PI D/ LegaL _ �S� ��('2 (,,� �j �(� <br /> � <br /> Description of work: <br /> Septic review by; _ w Date Approved: �-1 � ^ � � <br /> Zoning review by: �— �'^ L Date Approved: `� - � - i c� <br /> Building review by: Date Approved: �l�( - / � <br /> Grading review by: Qate Approved: <br /> Zoning File #: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Area: 6 'U/ SF/ C Width: Depth: <br /> Survey Submitted: � Yes ❑ No Date of Survey: 1S � Z�/�(� <br /> Pro osed Setbacks: <br /> Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetlanci <br /> Side Side <br /> -�v � <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 rou�d 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 exisfin 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: �y� SF _ o�o <br /> Shoreland District MCWD Permit Received 'Aver e Lakeshore Setback g� <br /> ❑ Yes ❑ No ❑ N/A ; ❑ Yes o <br /> Y s ❑ No Yes ❑ No ❑ N/A <br /> Permit Number: Setback: � <br /> Hardcover Zones Existin Proposed Variance R quir CUP Re ire <br /> 0-75 ❑ Yes ❑ o I ❑ Yes o <br /> 75-250' � � TyPe�S�: TyPe�s�: <br /> 250-500' <br /> . <br /> 500-1000' <br /> REMARKS (rn-house): <br /> Updated: 09/11/2009 <br /> z:lformslplan review checklist.docx <br />