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Plan Review Checklist for New Structures / Additions <br /> , , ;, , <br /> P�/!��ss/ PID/ Legal: � _ i'� i'; c l � ; � ;,;�-r�� <br /> � <br /> Description of work: 2 v� N <br /> n, f � , > <br /> Septic review by: _ � �i �� Date Approved: i �-� `� � � � <br /> Zoning review by: ;;�i(���� Date Approved: �- � ��� <br /> Building review by: ���,,,_.__ Date Approved:_ Z - ,� — 1� <br /> i � <br /> Grading review by: ¢�!C �.-fi" �V�Pi1 Date Approved:_ 2r � —� !' <br /> e <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot A`a ;�[��� -�'�:�/AC Width: � `yU � � Depth: �-� ����� � <br /> Survey Submitted: �Yes ❑ No Date of Survey: � —��-- � ;` <br /> Pro osed Setbacks: <br /> Fron (Lake)� Rear(Street) � C� S E W ) ( N �S-� E W <br /> �,.,�= I ) Other Buildings Wetland <br /> Side Side <br /> � � � i �; ✓ �� I l•�v a � � Mer— �t'�- <br /> e e <br /> Building Defined Height: �� Building Peak Height: '��•� # of Stories Ok?� YES <br /> �` <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 comice 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 stab 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 __J <br /> EQUALS Defined buildin hei ht <br /> l .� �� o -�1� % i Gi�'o <br /> Lot Coverage: � � � �-�' SF _ ° :%� � /o <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff <br /> ❑ Yes ❑ No ❑ N/A `' 0 Yes �„ C�77 No � <br /> ��Yes ❑ No p Yes ❑ No ❑ N/A r <br /> `�� Permit Number: : Setback: <br /> Hardcover Zones Existin Proposed Variance R ' uired � CUP Requ' e ' <br /> � 0-75' I� � � �o ►J � ❑ Yes � o � ❑ Yes `�'No � <br /> � 75-250' ��'��1 ���l 2�fk�c� 25°/v TYPe(S): Type(s): <br /> 250-500' '3� � �o�� l�S� 7i�1��D v <br /> 500-1000' � <br /> � <br /> REMARKS (in-house): ��'l�'LGi� �{�i � (�(Q2�1`�O�JSBt'i}d���,�j�� ��/,✓�i �l �,�iG'� Q�U-{�,�7 �-�- L6'� �d�tv�p �' <br /> _ �'� ��'�b�S�}L� = ���� I.l l � <br /> Updated: 09111/2009 <br /> z:\formslplan review checklist.docx <br />