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� � � <br /> Plan Review Checklist for New Structures / Additions <br /> Address/PID/Legal: c,�"�/_� ,�r �./��-�M '�� � . <br /> Description of work: �W V <br /> Septic review by: Date Approved: <br /> Zoning review by:� Date Approved: l�"� � � ' <br /> Building review by: Date Approved: � 6- I ( " �' <br /> Grading review by: 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 Submitted: 0 Yes � 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?: 0 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 comice 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 /> 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 flooN 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 % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff <br /> � Yes 0 No 0 N/A � Yes � No <br /> 0 Yes 0 No 0 Yes 0 No 0 N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Re uired CUP Re uired <br /> 0-75' G Yes 0 No 0 Yes � No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />