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. Plan Review Checklist for New Structures / Additions <br /> � Address/ PID/ LegaL � � �� S�� R C�"� � UC� � (� � <br /> Description of work: � �y�;,���� �: Fr���i . �"��'� (,c.i�Z C'�PC��� C.:%�a �G '� Cu�iY <br /> e'?>vs r�r� c?'�?� <br /> Septic review by: (�J� Date Approved: L�� CP' l (� <br /> Zoning review by: � � Date Approved: �_ Cr—� <br /> Building review by: Date Approved: �- � � / (� <br /> Grading review by: /V � I/} Date Approved: <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> � �� - lC; <br /> Zoning: Lot Area: G SF/AC ` Width: �'�GZ ( Depth: � � <br /> Survey Submitted: [�es 0 No Date of Survey: l�/� I�GZ C/-�5 h���'�� c�y <br /> Pro osed Setbacks: '��'X°= t ��K��,� <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ► Other Buildings Wetland <br /> Side Side <br /> i�c� ��(�h���� f� /.► rr c� C6��z�i��_ ���� ��G;.����� <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 Covera e: in _Sd"r'�C�F�Y.�-( C����.t��.� �— c�ec l� t s �=a f r�_�:���j2:�{w%�1 <br /> g l��� C�I'I�ki'� SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> ❑ Yes o ❑ N/A /� ❑ Yes o <br /> ❑ Yes 0 No &d��'es ❑ No ❑ N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Required CUP Required <br /> 0-75' 0 Yes 0 No ❑ Yes � No <br /> 75-250' • �,� Type(s): Type(s): <br /> 250-500' � i� C,� �c:�(�'� G��- <br /> 500-1000' 7� ��� �� <br /> G/ - Z7 <br /> REMARKS (in-house):_ �C� (�/�C✓,CL'� /�J�C�<={/�;i=�'y��C'G�,1i ���5 �'�1�Z1 <br /> ��'�"7 C%yl �'C�.:�r1�� �� I)lrr�5 C��lZ�` �'�-G���S <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />