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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: ���� �� v rP �/Ne �r + �e <br /> Description of work: } Z x Z..� � h�-� <br /> Septic review by: _ W�I9� Date Approved: �' � ,��� <br /> Zoning review by: _ .P� Date Approved: � � �� —/� <br /> Building review by: �u� �..0 Date Approved: � �I � - 1 0 <br /> Grading review by: '— Date Approved: — <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> L �-- l� <br /> Zoning: Lot Area: ��3-� SF/AC Width:�(L.�rc.� Depth: �a'J� <br /> Survey Submitted: GY�es ❑ No Date of Survey: �'�l� � <br /> Pro osed Setbacks: <br /> � �� <br /> Front(Lake) Rear(S�tree4j ( N S E W ) ( N � E W j Other Buildings � Wetland <br /> Side Side <br /> h�tirnc! �«.F 2c.f � �4� �'` /V r—� � <br /> I/n� ��Se. /� �� <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 I 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 % <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff <br /> ❑ Yes ❑ No N/A � � ❑ Yes �-i�o <br /> t�'es ❑ No , 0'Yes ❑ No ❑ N/A <br /> Permit Number: Setback: <br /> Hardcover Zones j Existin Proposed Variance Required CUP Required <br /> 0-75' Q Q ❑ Yes No ❑ Yes @-i�lo <br /> 75-250' � � Type(s): I Type(s): <br /> Zso-5oo' �3oF /�.�E71 �5�� l�'� ��o- I <br /> 500-1000' �O 6. ��aj� <br /> REMARKS (rn-house): ���� �'U2,✓ i'J l/Y►� h�'s �� �� !�' s�.� , � <br /> Us�c< he c�ausc... /�,c�,�-- rs ��ss �ir-ri, h�t! �+!f�� .�Cr z.�r►�e <br /> c>�-�hc!vd i� <br /> Updated: 09/11/2009 �.(G�,S C�YK.I �,�/L �YC,rt,. 7'�'-Z,SC� � �o�r�t <br /> z:lforms�plan review checklist.docx F�' � <br />