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� � Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: � �(C� � �('),�C� ��'�/� ���, <br /> Description of work: ��� P� �� � (� <br /> Septic review by: Date Approved: f ��' /� <br /> Zoning review by: Date Approved: �"l l�l� <br /> Building review by: Date Approved: �!''� � �'� 2 <br /> Grading review by: . �� Date Approved: 1�`� � <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post Office School District <br /> Zoning: Lot Are : � � SF AC Width: �� �� Depth: <br /> Sunrey Submitted: Y s � No Date of Survey: , �! ���� <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height. Building Peak Height: #of Stories Ok?: ES <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- e roof roof <br /> � SU 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 /> �� I n� space floor and the highest existing grade within existin rade within the foundation <br /> I/V the foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht <br /> E Defined buildin hei ht <br /> Lot Coverage: � ��'� SF 7• 5 % <br /> �i�/34 <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff � <br /> 0 Yes 0 No 0 N/A � Yes No <br /> Yes 0 No 0 Y s No 0 N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Pro osed Variance Re u' ed CUP Re uire <br /> 0-75' , �j c.( l0 0 Yes No 0 Yes No <br /> 75-250' �• �C� � TYPe�s)� TYPe(S)� .�. <br /> 250-500' •ZG�, y� <br /> soa�000� 13 �-7 ^/7•5� K�.. uk � <br /> REMARKS (in-house): `���'`9'��wWL�'�9� `� � � � �0 f��Cf/� <br /> Updated: 09/11/2009 / <br /> z:\forms�plan review checklist.docx l �`` ���' (�, � n /`ou�� Q */ ` <br /> �,_ � O � T �i� �� �i,'r') )� / ` � l <br /> � <br />