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� �PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: l"�1`GJL' s % �` T � �-ve �rc%2;�-� <br /> Description of work: �-rn���=Z— l's�(Z N � �a�j►i 6� Bhl LY <br /> Septic review by: /�� Date Approved: �o �J <br /> . Zoning review by: � Date Approved: <br /> Building review by: ' tiw..�- Date Approved: G '�'�`�� <br /> Grading review by: � � Date Approved: <br /> oning District: Zoning File#: Reso#: Reso Date: <br /> Zon : Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey bmitted: � Yes 0 No Date of Survey: Revised date ? � <br /> Pro osed S acks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buil ' gs Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: FFE minus feet= (Existing Contour) <br /> Perimeter(linear feet)= 50%_ #of Storie Ok? � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAW PACE: <br /> The distance between lowest FOR UILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the ba ent or crawl <br /> space)and the highest poin f the roof. START WITH The distance between the top of slab and <br /> If you have a... the highest point of the roof. <br /> If you have a... <br /> . GABLE OR HIPPED ROOF( . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): SubVact half the distance <br /> distance between the highest poin between the highest point of the roof <br /> of the roof to the low point of the to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> n'PE) windows): Subtract half the ROOF TYPE) windows): SubVact half the distance <br /> distance behnreen the top of e between the top of the highest <br /> highest window and the hi est window and the highest point of the <br /> point of the roof roof <br /> ALL OTHER ROOF PES(flat, • ALL OTHER ROOF TYPES(flat, <br /> • mansard,etc):No btrection. mansard,etc:No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> SUBTRACTION SubVact the distanc etween the (BASED ON and the highest exisUng grade adjacent to <br /> (BASED ON EXISTING basemenUcrawl sp ce floor and the XISTING the foundation. <br /> GRADES) highest existing ade adjacent to the DES <br /> foundation O 0 feet(whichever is less). E� LS Defined building height <br /> EQUALS Defined b 'ding helght <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setbac Met? Bluff <br /> � Yes 0 No 0 N/A � Yes 0 No <br /> 0 Yes 0 � Yes 0 No � N/A <br /> Permit Number: Setback: <br /> Stormwater uality Existing Proposed Variance Required CUP Requ d <br /> Overla " trict Tier Hardcover Hardcover <br /> � Yes 0 No � Yes � No <br /> Type(s): Type(s): <br /> U ated: January2013 . 'Vvl�y� C1/�wenl � <br /> :\forms�plan review checklist 2013.docx ��t� � j.��'�f�.� �(� ��•wr v� v V�VY� � <br /> C�� I� �Q.�q�,y�,��.., . Subrni �tA� <br /> �CV vo n�v�l�r�J , .._ ,n <br />