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•' � Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: � � � ? tjh /� �.y�j�,���j /1 � <br /> Description of work: _ �d���Yk� —�-��✓���G(�G� <br /> Septic review by: �,�� Date Approved: .3� .�� 'jC.} <br /> Zoning review by: ��%���� Date Approved: `7 ' �� � U <br /> Building review by: Date Approved: '� - I b - 1 � <br /> Grading review by: GZ Date Approved: �'�'I��� <br /> Zoning File#: �'�� ��5 Resolution#: ��f('� Resolution Date: ��- q—6 cf <br /> Zonin District Fire Department Post Office School District <br /> Zonin Lot Area: � �G✓2-- SF AC Width: �'J�2- � ���,� <br /> 9� Depth: ��'cJv <br /> Survey Submitted: � Yes �No Date of Survey: � ���P"- ��'J <br /> Pro osed Setbacks: <br /> Front(Lake) ear Street) � N`�de W ) ( � Side W ) Other Buildings Wetland <br /> �� �,GI� S �Dfl� t <br /> Building Defined Height: Building Peak Height:_ �P� � .ri►��'� #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 Coverage: ��� SF 1 G % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> Yes ❑ No ❑ N/A 0 Yes No <br /> � Yes ❑ No _' � Yes No ❑ N/A <br /> Permit Number: '(,1 �� Setback: <br /> � � - -Z C� <br /> Hardcover Zones Existin Proposed Variance Required UP Required <br /> 0-75' es ❑ No Yes ❑ No <br /> 75-250' Type : Type(s): <br /> 250-500' ��� �G <br /> 500-1000' �l S- `�l o r�'� «',3 � c�?.� l �� <br /> REMARKS (in-house): Z �jj . 6� <br /> � C_ �J � �. S ( � �d <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />