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Plan Review Checklist for New Structures / Additions <br /> Address/ PIC�/ Legal: • �� f f�,� � �n fl� �(��� <br /> Description of work: �'�,�O 1�. O�G �'lC�SQ.. � C,�'LSi�'UGt {��c.J <br /> Septic review by: +'V � Date Approved:_ � � ]�— %�� <br /> Zoning review by: � Date Approved: 5 �ZD/ IO <br /> Building review by: Date Approved: �'Z S "('l� <br /> �-p p roue-d <br /> Grading review by: �/( 'li l�r��C� Date Approved: <br /> Zoning File#: � G � 3`�S(� Resolution #: � �3 2 Resolution Date: .5 � !U � !C� <br /> Zonin District Fire Department Post Office � School District <br /> L� —� � <br /> Zoning: Lot Area: � �_ ,6F7/AC Width: (o ��_ Depth: � � <br /> Survey Submitted: t7Yes ❑ No Date of Survey:T��10 Y�.-V �"28 'lO <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( � S E W ) ( N � E W ) Other Buildings Wetland <br /> Side Side <br /> 8 , 5 � �� 7. ,,� � �� . � � . o � h�- h� <br /> r < <� � � <br /> Building Defined Height: �jd 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 flooN crawl START the distance between the slab and the highest i <br /> space floor and the highest roof peak, the top of WITH roof peak,the top of the cornice of a flat roof, I <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 i <br /> space floor and the highest existing grade within existin rade within the foundation <br /> the foundation or 10 feet, whichever is less. I EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: gF 1���_0�0 <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback � Bluff <br /> ❑ Yes ❑ No ❑ N/A � / ❑ Yes ❑ No <br /> Yes ❑ No ❑'Yes ❑ No ❑ N/A <br /> i Permit Number: I Setback: i <br /> Hardcover Zones Existin Pro osed Var' nce Required � CUP Required <br /> I 0-75' � Yes ❑ No � ❑ Yes ❑ No <br /> 75-250' � �Q� '(� TYPe(S): I Type(s); <br /> 250-500' � � ! o�- w�c�1M z/ar/'esk <br /> 500-1000' �� c��� i <br /> /� �'I � <br /> REMARKS (in-house): O U�"! �,,S / yf�� � �� C��, <br /> �/! v/I'Q Q�'ryl r <br /> Updated: 09/11/2009 <br /> z:\formslplan review checklist.docx <br />