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. Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: � lp� s �� . <br /> Description of work: (/!' �( <br /> Septic review by: V"v Date Approved: ��� <br /> Zoning review by: �� Date Approved: � <br /> Building review by: /�/a Date Approved: <br /> Grading review by: S�G !'ilrt?�1��' Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire Department Post Office School District <br /> r 1 /.J <br /> Zoning: Lot Area: � • 1 14 SF/AC Width: 27� � Depth: 5��� <br /> Survey Submitted: [�es 0 No Date of Survey: �6�;�j <br /> Pro osed Setbacks: <br /> Front(.l.�ka- Rear(Street) ( N S � W ) ( N S E � Other Buildings Wetland <br /> Si e Side <br /> b�.hi� � l � /� � !OD _ YI,q- 84 r�n. <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 FOUND . <br /> STA the distance between the basement floor/crawl START the dista etween the slab and the highest <br /> oor and the highest roof peak,the top of WITH r eak,the top of the cornice of a flat roof, <br /> the cornice at roof, the deck line of a the deck line of a mansard roof, or the <br /> mansard roof, or the ost 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 in 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 ment floor/crawl ADD the distance between the slab and the highest <br /> space floor and th est existing grade within ' � rade within the foundation <br /> the founda � or 10 feet, whichever is less. EQUALS Defined hei ht <br /> EQUALS De buildin hei ht <br /> Lot Co ge: SF % <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Se7back Bluff <br /> � Yes 0 No N/A 0 Yes ❑ No <br /> � Yes q/I�lo � Yes 0 No 0 N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existin Proposed Variance Required CUP Required <br /> 0-75' 0 Yes 0 No 0 Yes ❑ No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): G V t � [�� �i�l t��`1�l�'�'1C�. � � � Cc�'1" � I � �,I� <br /> F'10 bou�c�,p,�S (�,y � Y�1 C� � <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />