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� �� Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: `�9 5 i x-rrr q��,P /�1� , <br /> Description of work: k �T c i�r„� (��,�,,e,u, �1�,�w�.aKlt�. <br /> Septic review by: N/.a► Date Approved: <br /> Zoning review by: N/� Date Approved: g �! -Og <br /> Building review by: Date Approved: <br /> Grading review by: N//� Date Approved: <br /> Zoning File#: Resolution#: Resolution e: <br /> Zonin District Fire De artment Post Office School District <br /> Zoning. Lot Area: SF/AC Width: Depth: <br /> Survey Su itted: O Yes 0 No Date of rvey: <br /> Pro osed Setb ks: <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: <br /> FOR A BUILDING WITH A BASEMEN R CRAWL SPACE,Y FOR A BUILDING ON A SLAB FOUNDATION: <br /> START the distance betwe the baserfient floor/ START the distance between the slab and the <br /> WITH crawl space floor an e hig6(est roof peak, WITH highest roof peak, the top of the cornice <br /> the top of the cornice o f �t roof, the deck of a flat roof, the deck line of a mansard <br /> line of a mansard roof, or e uppermost � roof, or the uppermost point on a round or <br /> oint on a round or oth F arc -t e roof other arch-t e roof <br /> SUBTRACT half the distance be en the � hest SUBTRACT half the distance between the highest <br /> window and highes roof peak of itched window and highest roof peak of a <br /> roof itched roof <br /> SUBTRACT the distance be een the basement fl r/ ADD the distance between the slab and the <br /> crawl space fl or and the highest existin highest existing grade within the <br /> grade within he foundation or 10 feet, foundation <br /> whichever�s less. EQUALS Defined buildin hei ht <br /> EQUALS Defined uildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland istrict MCWD Permit Received Avera Lakeshore Setback Bluff <br /> � Yes � No � Yes 0 No � N/A p Yes No 0 N/A � Yes � No <br /> Permit Number: Setback: <br /> Ha cover Zones Existin Pro osed Variance Re 'red CUP Re uired <br /> 0-75' 0 Yes � No 0 Yes 0 No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 07/01/2009 <br /> z:\forms\plan review checklist.docx <br />