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- Plan Review Checklist for New Structures / Additions <br /> Address/ PI D/ LegaL '�r? (y S �!�0 r�' !:�/-Q `�/� <br /> Description of work: ��1 �z.�i'C-Y�(�l�/�� <br /> Septic review by: Date Approved: ��- �� � `� <br /> Zoning review by: Date Approved: a1 <br /> Building review by: _����,,�„ Date Approved: ! Z-� c�`i <br /> Grading review by: Date Approved: <br /> Zoning File#: ' Resolution#: Cj�� Resolution Date: Q�"J <br /> Zonin District Fire Department Post Office School District <br /> Zoning: Lot Ar a: � � SF AC Width: � Depth: � <br /> Survey Submitted: �Pes ❑ No Date of Survey: � <br /> Pro osed Setbacks: <br /> Front(Lake) tre ( N S W ( N S E W ) Other Buildings Wetland <br /> Side Si e <br /> � �v � � /�- / il/l� <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/crawf 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: gF 7 % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> ❑ Yes � No ❑ N/A ❑ Yes No <br /> Yes ❑ No es ❑ N� N/A <br /> Permit Number: Setback: � <br /> Hardcover Zones Existin Proposed V 'ance Required CUP Re uir <br /> 0-75' � es � No 0 Yes No <br /> 75-250' � ��. TYPe S)� ¢�il�s�p ype(s): <br /> 250-500' <br /> Zs'� S'l d,� "��. <br /> 500-1000' �}"� <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />