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-: - - . • Plan Review_ Checklist for New Structures / Additions <br /> Address/ PID/Legal: �`'(23 ��}Q2�,L1�V�; tQ2 <br /> Description of work: �/y z-L, (Z�c�2 �,��.,L. �.�, v�,l'U I�(�9 Z s Q r9 C.Q 5 <br /> Septic review by: /V�/� Date Approved: <br /> Zoning review by: � Date Approved: <br /> Building review by: Date Approved: 7'� �(O <br /> Grading review by: /lIf/� Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post Office School District <br /> Zoning. Lot Area: SF/AC Width: Depth: <br /> Survey Sub ' ed: 0 Yes 0 No Date of Survey: <br /> Pro osed Setbac : <br /> Front(Lake) ear(Street) ( N S E W ) ( N S E W ) Othe uildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Heigh � <br /> FOR A BUILDING WITH A BASEMENT OR CRA SPACE: FO BUILDING ON A SLAB FOUNDATION: <br /> START the distance between the ba ment floor/ TART the distance between the slab and the <br /> WITH crawl space floor and the highe roof peak, WITH highest roof peak, the top of the cornice <br /> the top of the cornice of a flat roof, e dec of a flat roof, the deck line of a mansard <br /> line of a mansard roof, or the upperm roof, or the uppermost point on a round or <br /> oint on a round or other arch-t e r other arch-t e roof <br /> SUBTRACT half the distance between the hig st SUBTRACT half the distance between the highest <br /> window and highest roof peak a pitched window and highest roof peak of a <br /> roof itched roof <br /> SUBTRACT the distance between the asement floor/ DD the distance between the slab and the <br /> crawl space floor and e highest existing highest existing grade within the <br /> grade within the fo ation or 10 feet, foundation <br /> whichever is les EQUAL Defined buildin hei ht <br /> EQUALS Defined buildi hei ht <br /> Lot Coverage: SF % <br /> Shoreland Dis ct MCWD Permit Received Avera e Lakeshore tback Bluff <br /> � Yes � No � Yes � No 0 N/A p Yes � No p q 0 Yes 0 No <br /> Permit Number: S�tback: <br /> Hardc er Zones Existin Pro osed Variance Re uired '�.,CUP Re uired <br /> 0-75' 0 Yes 0 No � Yes�, 0 No <br /> 75-250' Type(s): TYPe�s): ',. <br /> 250-500' <br /> 500-1000' ���. <br /> .� <br /> REMARKS (in-house):__ /l/'� _F�3;rvc� <br /> Updated: 07/01/2009 <br /> z:\forms�plan review checklist.docx <br />