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� <br /> � <br /> ' Plan Review Checklist for New Structures / Additions <br /> Address/PID/ Legai: Zl 0 SU(oA121,�1th[�tA� ,�(2. <br /> Description of work: ���o�pt(_,_ <br /> Septic review by: /�I/✓� Date Approved: <br /> Zoning review by: N�� Date Approved: <br /> Building review by: Date Approved: <br /> Grading review by: �/ �f� Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zonin District Fire De artment Post Office School District <br /> ing: Lot Area: SF/AC Width: Depth: _ <br /> Surve Submitted: � Yes O No Date of Survey: <br /> Pro osed tbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Bui ngs Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES <br /> FOR A BUILDING WITH A BASEMENT O CRAWL SPACE: FOR A BU ING ON A SLAB FOUNDATION: <br /> START WITH the distance between th asement floor/crawl STA the distance between the slab and the highest <br /> space floor and the highes �Qof peak,the top of H roof peak,the top of the cornice of a flat roof, <br /> the comice of a flat roof,the dZ k line of a the deck line of a mansard roof,or the <br /> mansard roof,or the uppermost 'nt on a round uppermost point on a round or other arch-type <br /> or other arch- e roof roof <br /> SUBTRACT half the distance befween the highest ' dow 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 floor/ ra ADD the distance between the slab and the highest <br /> space floor and the highest existing gr e withi existin rade within the foundation <br /> the foundation or 10 feet, whichever' less. EQUALS Defined buildin hei ht <br /> EQUALS Defined buildin hei ht <br /> Lot Coverage: SF % <br /> Shoreland District M D Permit Received Avera Lakeshore Setback Bluff <br /> 0 es � No 0 N/A 0 Yes � No <br /> � Yes 0 No 0 Yes No � N/A <br /> ermit Number: Setback: <br /> Hardcover Zones Existin Pro osed Variance Re uire CUP Re uired <br /> 0-75' 0 Yes ❑ No 0 Yes � No <br /> 75-250' Type(s): Type(s): <br /> 250- 00' <br /> 5,00-1000' <br /> RE RKS (in-house): 0 <br /> � <br /> Updated: 09/11/2009 <br /> z:\forms�plan review checklist.docx <br /> � <br />