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� � Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: �C� �Q S �� �S <br /> Description ofwork: I�:.w`-a�'3�:.� ��'{{('.�i(�� hr� �S�L. STi�r;�i�� <br /> Septic review by: Date Approved: 5 —� - 1 p <br /> Zoning review by: Date Approved: S � l �GC� <br /> Building review by: ��,� �„�ti..._- Date Approved: `�r_(� I U <br /> Grading review by: � N�v'� Date Approved: /v I ►�- <br /> Zoning File#: Resolution #: Resolution Date: <br /> �`�. Zonin District Fire Department Post Office School ' trict <br /> .� <br /> .,� <br /> Zonin : Lot Area: SF /AC Width: epth: <br /> Survey Su itted: ❑ Yes ❑ No Date of Survey: <br /> Pro osed Setba s: <br /> Front (Lake) �Rear(Street) ( N S E W ) ( N S E W Other Buildings Wetland <br /> Side Side <br /> \ <br /> Building Defined Height: Building Peak Height #of Stories Ok?: ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR CR WL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH the distance between the ba ent floor/crawl START the distance between the slab and the highest <br /> space floor and the highest roo eak, the top of WITH roof peak,the top of the cornice of a flat roof, <br /> the cornice of a flat roof,the deck e of a the deck line of a mansard roof, or the <br /> mansard roof, or the uppermost poin n a und 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 ind 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 basem t floor/crawl ADD the distance between the slab and the highest j <br /> space floor and the highest ex��ng grade within , existin rade within the foundation i <br /> the foundation or 10 feet, whichever is less. EQUALS � Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> / <br /> Lot Coverage: :� SF % <br /> � Shoreland District MCWD Permit Received Avera e La shore Setback Bluff <br /> ,% ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No <br /> ❑ Yes 0 fj�6 ❑ Yes ❑ No ❑ N/A <br /> � A/ Permit Number: Setback: <br /> � <br /> Hardcove ones Existin Proposed Variance Re uired CUP Required <br /> 5 ❑ Yes ❑ No ❑ s ❑ No <br /> � 75-250' Type(s): Type(s): <br /> ' 250-500' <br /> 500-1000' <br /> REMARKS (rn-house : � • r> -y v`�� ._. �U ( � �,,, <br /> � }'l(.� � �Uv'`,2._- - <br /> U pd ated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br />