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•� � Pian Review Checkiist for New Structures / Additions <br /> Address/ PID / Legaf: �� i 1 ��=�-�`�}��.; c c.,�^S �(�� <br /> � <br /> Description of work: \�:��-+ i •" ��L.��'1�Z 5 <br /> Septic review by: /�, i�-'-1 Date Approved: <br /> Zoning review by: /U 1 �� Date Approved: <br /> ,. <br /> Buiiding review by: �,� �'�.,,,,c. Date Approved: "T-Z y - Z:= � Z__, <br /> Grading review by: d'u � �� Date Approved: <br /> _ Zoning File#: Resolution#: Resolution Date: <br /> Zonin District fire Department Post Office School istrict <br /> Zoning: Lot Area: SF/AC Width: D th: <br /> Survey Submitted: ❑ Yes ❑ No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) Reat��(Street) ( N S E W ) ( N S E W ) O er Buildings Wetland <br /> Side Side <br /> ., <br /> Building Defined Height: \ Building Peak Height: #of Stories Ok?: � YES <br /> _ � <br /> FOR A'BUILDING WITH A BASEMENT OR CRAWL S CE: FOR A BUI ING ON A SLAB FOUNDATION: <br /> START WITH the distance between the basemen oor/crawl STAR the distance between the slab and the highest <br /> space floor and the highest roof peak, e top of WIT roof peak,the top of the comice of a flat roof, <br /> the comice of a flat roof,the deck line o the deck line of a mansard roof, or the <br /> mansard roof, or the uppermost point on 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 window a 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 exisfin rade within the foundation <br /> the foundation or 10 feet, whichever is less. UALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District MCWD Perm' Received Average�La shore Setback BWff <br /> ❑ Yes No 0 N/A ❑ Yes 0 No <br /> ❑ Yes ❑ No ❑ Yes ❑ No ❑ N/A <br /> Permit Nu ber: Setback: <br /> Hardcover Zones Exi �n Proposed Variance Required CUP Re uired <br /> 0-75' � Yes ❑ No 0 Yes ❑ No <br /> 75-250' Type(s): Ty (s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in ouse): N� C�I-� � NC, - <br /> �'� <br /> Updated:� 9/11/2009 <br /> z:lformslplan review checklist.docx <br />